| Indravadan T Patel Md Pa | |
|
2060 Oak Tree Rd Edison NJ 08820-2058 | |
| (732) 548-6080 | |
| (732) 744-0796 |
| Full Name | Indravadan T Patel Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2060 Oak Tree Rd, Edison, New Jersey |
| Authorized Official Name and Position | Indravadan T Patel (PROPRIETOR) |
| Authorized Official Contact | 7325486080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indravadan T Patel Md Pa 2060 Oak Tree Rd Edison NJ 08820-2058 Ph: (732) 548-6080 | Indravadan T Patel Md Pa 2060 Oak Tree Rd Edison NJ 08820-2058 Ph: (732) 548-6080 |
| NPI Number | 1043476963 |
|---|---|
| Provider Enumeration Date | 07/30/2008 |
| Last Update Date | 07/30/2008 |
| Medicare PECOS PAC ID | 2668531815 |
|---|---|
| Medicare Enrollment ID | O20081104000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043476963 | NPI | - | NPPES |
| 4986300 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA05317400 (New Jersey) | Primary |
| Provider Name | Indravadan T Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922032879 PECOS PAC ID: 9537110150 Enrollment ID: I20050201000567 |
| Provider Name | Dhruv Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033644141 PECOS PAC ID: 8022355387 Enrollment ID: I20201026000285 |
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