Provider Demographics
NPI:1427146596
Name:PATEL, SHEFALI N (MD, FACOG)
Entity type:Individual
Prefix:DR
First Name:SHEFALI
Middle Name:N
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD, FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E BROAD ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2190
Mailing Address - Country:US
Mailing Address - Phone:908-232-6001
Mailing Address - Fax:908-232-0780
Practice Address - Street 1:505 E BROAD ST
Practice Address - Street 2:SUITE 1
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2190
Practice Address - Country:US
Practice Address - Phone:908-232-6001
Practice Address - Fax:908-232-0780
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07591100207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ077446Medicare PIN
NJI02941Medicare UPIN