Provider Demographics
NPI:1396969077
Name:PATEL, ALPESH B (MD)
Entity type:Individual
Prefix:
First Name:ALPESH
Middle Name:B
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 COMMONS WAY
Mailing Address - Street 2:SUITE 211
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-1508
Mailing Address - Country:US
Mailing Address - Phone:800-247-0309
Mailing Address - Fax:800-336-7779
Practice Address - Street 1:211 COMMONS WAY
Practice Address - Street 2:SUITE 211
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-1508
Practice Address - Country:US
Practice Address - Phone:800-247-0309
Practice Address - Fax:800-336-7779
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA73128207R00000X, 207RC0000X
CAA95014207R00000X, 207RC0000X
TN42848207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1396969077OtherNPI
TN1396969077OtherNPI