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Individual

DR. PRAGNESH PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1335 W TABOR RD STE 206, PHILADELPHIA, PA 19141-3040
(215) 927-2837
(215) 927-2008
Mailing address
1131 MORNING GLORY DR, MONROE TOWNSHIP, NJ 08831-5346

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC007158
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1038802800001
PA
Enumeration date
04/06/2016
Last updated
02/06/2023
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