Individual
SHIVANGI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 MOUNT HOPE AVE STE 220/230, ROCKAWAY, NJ 07866-1657
(973) 895-6606
(973) 895-5378
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08314700
NJ
207RN0300X
Nephrology Physician
Primary
25MA08314700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153150
—
NJ
Enumeration date
10/03/2007
Last updated
09/28/2020
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