Provider Demographics
NPI:1427124585
Name:PATEL, MINABEN DILIPKUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:MINABEN
Middle Name:DILIPKUMAR
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 MCNAIR ST
Mailing Address - Street 2:
Mailing Address - City:HAZLETON
Mailing Address - State:PA
Mailing Address - Zip Code:18201-2275
Mailing Address - Country:US
Mailing Address - Phone:570-459-5611
Mailing Address - Fax:570-459-5612
Practice Address - Street 1:851 MCNAIR ST
Practice Address - Street 2:
Practice Address - City:HAZLETON
Practice Address - State:PA
Practice Address - Zip Code:18201-2275
Practice Address - Country:US
Practice Address - Phone:570-459-5611
Practice Address - Fax:570-459-5612
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD063316L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine