Individual
SUSANJ SHANTU PATEL
Active
Individual
SUSANJ SHANTU PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D69227
MD
2085R0202X
Diagnostic Radiology Physician
Primary
MD071371L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018270670007
—
PA
01
—
123342
HIGHMARK BCBS
PA
01
—
P00706040
RAILROAD MEDICARE
PA
Enumeration date
06/02/2005
Last updated
04/28/2022
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