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SHRUTI GAURANG PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
100 E LANCASTER AVENUE, SUITE 256 MOB EAST, WYNNEWOOD, PA 19096-3432
(610) 649-6800
(484) 572-6305
Mailing address
3400 SPRUCE STREET, 3 SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4206
(215) 662-3487
(215) 349-5534

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA065252
PA
363AM0700X
Medical Physician Assistant
Primary
MA065252
PA

Other

Enumeration date
11/21/2023
Last updated
05/06/2026
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