Provider Demographics
NPI:1821388539
Name:PATEL, SACHIN (DPM)
Entity Type:Individual
Prefix:DR
First Name:SACHIN
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-3502
Mailing Address - Country:US
Mailing Address - Phone:609-924-1922
Mailing Address - Fax:609-497-2936
Practice Address - Street 1:11 N HARRISON ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3502
Practice Address - Country:US
Practice Address - Phone:609-924-1922
Practice Address - Fax:609-497-2936
Is Sole Proprietor?:No
Enumeration Date:2011-04-14
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00316000213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist