Provider Demographics
NPI:1629038393
Name:PATEL, SNEHAL (MD)
Entity Type:Individual
Prefix:
First Name:SNEHAL
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 RODNEY ROAD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408
Mailing Address - Country:US
Mailing Address - Phone:717-846-8791
Mailing Address - Fax:717-184-6841
Practice Address - Street 1:1550 RODNEY ROAD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408
Practice Address - Country:US
Practice Address - Phone:717-846-8791
Practice Address - Fax:717-184-6841
Is Sole Proprietor?:No
Enumeration Date:2006-03-25
Last Update Date:2021-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422057207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019594780001Medicaid
PAH92101Medicare UPIN