Provider Demographics
NPI:1073623344
Name:HOSPITALISTS OF DELAWARE
Entity Type:Organization
Organization Name:HOSPITALISTS OF DELAWARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAUNAK
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-984-2577
Mailing Address - Street 1:PO BOX 822005
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-2005
Mailing Address - Country:US
Mailing Address - Phone:302-888-2725
Mailing Address - Fax:302-888-2734
Practice Address - Street 1:701 FOULK RD
Practice Address - Street 2:SUITE 2-F
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3733
Practice Address - Country:US
Practice Address - Phone:302-984-2577
Practice Address - Fax:302-888-2734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0001021302Medicaid
DEC19153OtherPALMETTO
DEG00210Medicare PIN