Individual
MR. INDRAVADAN T PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2060 OAKTREE RD, EDISON, NJ 08820
(732) 548-6080
(732) 744-0796
Mailing address
2060 OAKTREE RD, EDISON, NJ 08820
(732) 548-6080
(732) 744-0796
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05317400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4986300
—
NJ
Enumeration date
07/10/2006
Last updated
07/08/2007
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