Provider Demographics
NPI:1043216252
Name:PATANI, HEMANT A (MD)
Entity Type:Individual
Prefix:
First Name:HEMANT
Middle Name:A
Last Name:PATANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:651 COLLIERS WAY
Mailing Address - Street 2:STE 300
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-5058
Mailing Address - Country:US
Mailing Address - Phone:724-492-1304
Mailing Address - Fax:724-492-1813
Practice Address - Street 1:8050 NOBLESTOWN RD
Practice Address - Street 2:
Practice Address - City:MC DONALD
Practice Address - State:PA
Practice Address - Zip Code:15057-2285
Practice Address - Country:US
Practice Address - Phone:724-492-1304
Practice Address - Fax:724-492-1813
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD420170207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019666320002Medicaid
H81402Medicare UPIN
OHH012040Medicare PIN
PA0019666320002Medicaid