Provider Demographics
NPI:1114300522
Name:PATEL, NEIL R (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:R
Last Name:PATEL
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 1:830 NORLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4217
Mailing Address - Country:US
Mailing Address - Phone:717-217-6881
Mailing Address - Fax:717-217-6889
Practice Address - Street 1:830 NORLAND AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4217
Practice Address - Country:US
Practice Address - Phone:717-217-6881
Practice Address - Fax:717-217-6889
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-02
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD464496207R00000X, 207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease