Provider Demographics
NPI:1275192528
Name:PATEL, ARCHANA (DO)
Entity Type:Individual
Prefix:
First Name:ARCHANA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-938-6588
Mailing Address - Fax:717-938-9601
Practice Address - Street 1:1790 OLD TRAIL RD
Practice Address - Street 2:
Practice Address - City:ETTERS
Practice Address - State:PA
Practice Address - Zip Code:17319-9652
Practice Address - Country:US
Practice Address - Phone:717-938-6588
Practice Address - Fax:717-938-9601
Is Sole Proprietor?:No
Enumeration Date:2019-06-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAFP1591925207Q00000X
PAOT019161207Q00000X
PAOS022152207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine