Individual
KANAN A PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 N FRONT ST UNIT 4, PHILADELPHIA, PA 19123-0001
(732) 397-7939
Mailing address
412 N FRONT ST UNIT 4, PHILADELPHIA, PA 19123-0001
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AG11250035
PA
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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