Provider Demographics
NPI:1386941086
Name:PATEL, NIKKI MIHIR (DC)
Entity type:Individual
Prefix:
First Name:NIKKI
Middle Name:MIHIR
Last Name:PATEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 LANCASTER AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-5200
Mailing Address - Country:US
Mailing Address - Phone:302-482-1847
Mailing Address - Fax:
Practice Address - Street 1:2800 LANCASTER AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-5200
Practice Address - Country:US
Practice Address - Phone:302-482-1847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000798111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor