Individual
SHIVANI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1405 N CEDAR CREST BLVD FL 2, ALLENTOWN, PA 18104-2308
(484) 273-4677
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA064088
PA
Other
Enumeration date
09/22/2022
Last updated
10/20/2022
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