Provider Demographics
NPI:1629791017
Name:PATEL, INDU SITARAM
Entity Type:Individual
Prefix:MRS
First Name:INDU
Middle Name:SITARAM
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 OLD LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067-3573
Mailing Address - Country:US
Mailing Address - Phone:215-225-2219
Mailing Address - Fax:
Practice Address - Street 1:951 OLD LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:19067-3573
Practice Address - Country:US
Practice Address - Phone:215-295-7331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide