Provider Demographics
NPI:1053322412
Name:PATEL, DIPAK M (MD)
Entity Type:Individual
Prefix:DR
First Name:DIPAK
Middle Name:M
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1700
Mailing Address - Fax:717-851-1710
Practice Address - Street 1:755 S PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:DALLASTOWN
Practice Address - State:PA
Practice Address - Zip Code:17313-9252
Practice Address - Country:US
Practice Address - Phone:717-851-1300
Practice Address - Fax:717-851-1310
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD053101L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA524218OtherHIGHMARK BLUE SHIELD
PAP002868OtherGATEWAY-WMG
PA039274OtherJOHNS HOPKINS
PA1142376OtherAMERIHEALTH MERCY-WMG
PA101037OtherUNISON-WMG
PA1079003OtherCAPITAL BLUE CROSS- WMG
PA22674OtherGEISINGER
MD604404OtherCAREFIRST MD BCBS
PA001493042Medicaid
PA4554191OtherAETNA
PA0731842000OtherAMERIHEALTH 65 PA
PA277365OtherMAMSI-WMG
PA524218FLTMedicare PIN
PA524218OtherHIGHMARK BLUE SHIELD
PA101037OtherUNISON-WMG