Provider Demographics
NPI:1427090638
Name:PATEL, CHANDRESH AMBALAL (MD)
Entity type:Individual
Prefix:DR
First Name:CHANDRESH
Middle Name:AMBALAL
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:170 MIDDLETOWN BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-3200
Mailing Address - Country:US
Mailing Address - Phone:215-757-8100
Mailing Address - Fax:215-757-7358
Practice Address - Street 1:170 MIDDLETOWN BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3200
Practice Address - Country:US
Practice Address - Phone:215-757-8100
Practice Address - Fax:215-757-7358
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2017-12-04
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Provider Licenses
StateLicense IDTaxonomies
PAMD425068L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI28206Medicare UPIN