Provider Demographics
NPI:1639360910
Name:PATEL, NITESH M (DO)
Entity Type:Individual
Prefix:DR
First Name:NITESH
Middle Name:M
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:201 LAUREL OAK RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4424
Mailing Address - Country:US
Mailing Address - Phone:856-566-5478
Mailing Address - Fax:856-566-9561
Practice Address - Street 1:201 LAUREL OAK RD
Practice Address - Street 2:SUITE B
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4424
Practice Address - Country:US
Practice Address - Phone:856-566-5478
Practice Address - Fax:856-566-9561
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2012-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB08428500207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology