Individual
MRS. HETAL K PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8100
Mailing address
1365 MICHAEL WAY, LANSDALE, PA 19446-4443
(848) 467-0509
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057984
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01653712
NJ RAILROAD MEDICARE
NJ
01
—
P01653720
PA RAILROAD MEDICARE
PA
Enumeration date
04/06/2012
Last updated
11/09/2022
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