Individual
SHIVANI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5101 N PARK DR, PENNSAUKEN, NJ 08109-4643
(872) 231-3162
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB12309800
NJ
Other
Enumeration date
04/07/2020
Last updated
11/12/2025
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