Individual
VICKAS V PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-8484
(215) 707-3946
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-8484
(215) 707-3946
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD063050L
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD063050L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019474590001
—
PA
Enumeration date
07/04/2006
Last updated
11/06/2015
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