Individual
SHAIVI ASIT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2023 PULASKI HWY, HAVRE DE GRACE, MD 21078-2137
(410) 939-6477
(410) 939-6555
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736
(908) 458-8333
(908) 530-6522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT218544
PA
207W00000X
Ophthalmology Physician
Primary
D0096963
MD
Other
Enumeration date
06/18/2019
Last updated
04/21/2026
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