Individual
SHITAL R PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
414 PAOLI PIKE, MALVERN, PA 19355-3311
(610) 640-3943
(610) 296-4915
Mailing address
414 PAOLI PIKE, MALVERN, PA 19355-3311
(610) 640-3943
(610) 296-4915
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD417465
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001957698
—
PA
05
—
1000039456
—
DE
Enumeration date
08/29/2006
Last updated
04/22/2008
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