Provider Demographics
NPI:1578743415
Name:PATEL, MAYANK C (OD)
Entity Type:Individual
Prefix:DR
First Name:MAYANK
Middle Name:C
Last Name:PATEL
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Gender:M
Credentials:OD
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Mailing Address - Street 1:73 OLD DUBLIN PIKE
Mailing Address - Street 2:SUITE 13C MERCER SQUARE
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2491
Mailing Address - Country:US
Mailing Address - Phone:215-230-4060
Mailing Address - Fax:215-230-4065
Practice Address - Street 1:73 OLD DUBLIN PIKE
Practice Address - Street 2:SUITE 13C MERCER SQUARE
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2491
Practice Address - Country:US
Practice Address - Phone:215-230-4060
Practice Address - Fax:215-230-4065
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
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Provider Licenses
StateLicense IDTaxonomies
PAOE-007675-T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist