Provider Demographics
NPI:1710474127
Name:PATEL, NIGAM DHARMENDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:NIGAM
Middle Name:DHARMENDRA
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:401 ROUTE 73 N STE 320
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3426
Mailing Address - Country:US
Mailing Address - Phone:856-302-0500
Mailing Address - Fax:
Practice Address - Street 1:150 DELSEA DR STE B
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-9414
Practice Address - Country:US
Practice Address - Phone:856-302-0500
Practice Address - Fax:856-302-0504
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11371800208M00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist