Provider Demographics
NPI:1033483755
Name:PATEL, RUCHIKA (MD)
Entity Type:Individual
Prefix:
First Name:RUCHIKA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8500-8735
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-8735
Mailing Address - Country:US
Mailing Address - Phone:215-456-7000
Mailing Address - Fax:215-456-5926
Practice Address - Street 1:5501 OLD YORK RD
Practice Address - Street 2:KORMAN BLDG SUITE 103
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19141-3018
Practice Address - Country:US
Practice Address - Phone:215-456-7380
Practice Address - Fax:215-456-3898
Is Sole Proprietor?:No
Enumeration Date:2012-02-27
Last Update Date:2015-01-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD450888207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology