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Individual

PAVAN PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(866) 785-8537
Mailing address
3990 SW 24TH AVE APT 304, GAINESVILLE, FL 32607-4493
(609) 651-2527

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
OS022112
PA
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
Primary
OS022112
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT017617
PA

Other

Enumeration date
05/01/2017
Last updated
06/17/2022
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