Provider Demographics
NPI:1336323989
Name:PATEL, NITIN ARVIND (MD)
Entity Type:Individual
Prefix:
First Name:NITIN
Middle Name:ARVIND
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-2945
Mailing Address - Country:US
Mailing Address - Phone:814-807-1202
Mailing Address - Fax:814-807-1210
Practice Address - Street 1:1015 GROVE ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-2905
Practice Address - Country:US
Practice Address - Phone:814-807-1202
Practice Address - Fax:814-807-1210
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD441967207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1336323989OtherTODAYS OPTIONS
PA25-1754199OtherHEALTH AMERICA
PA25-1754199OtherUNITED HEALTHCARE
PA2675292OtherCIGNA
PA25-1754199OtherVANTAGE
PA416917OtherUPMC
PA2608432OtherHIGHMARK
PA1025971980001Medicaid
PA25-1754199OtherDEVON/AETNA
PA25-1754199OtherINTERGROUP
PA25-1754199OtherINTERGROUP