Provider Demographics
NPI:1821671512
Name:PATEL, ISHANI SWETANGBHAI (MBBS)
Entity Type:Individual
Prefix:
First Name:ISHANI
Middle Name:SWETANGBHAI
Last Name:PATEL
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 LANGHORNE NEWTOWN RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1295
Mailing Address - Country:US
Mailing Address - Phone:215-710-6600
Mailing Address - Fax:215-710-5975
Practice Address - Street 1:ST. MARY MEDICAL CENTER, 1201 LANGHORNE NEWTOWN RD.
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1295
Practice Address - Country:US
Practice Address - Phone:215-710-6610
Practice Address - Fax:215-710-5975
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2021-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program