Individual
DIPESH PRAVIN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1627 CHEW ST, ALLENTOWN, PA 18102-3648
(610) 969-3390
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101254191
VA
207Q00000X
Family Medicine Physician
Primary
MD469374
PA
207Q00000X
Family Medicine Physician
MT197450
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689995276
—
VA
Enumeration date
06/17/2010
Last updated
02/04/2022
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