Provider Demographics
NPI:1922115344
Name:PATEL, HARSHAD NATHALAL (MD)
Entity Type:Individual
Prefix:DR
First Name:HARSHAD
Middle Name:NATHALAL
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 BROADWAY
Mailing Address - Street 2:SUITE 303
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-1842
Mailing Address - Country:US
Mailing Address - Phone:201-794-8855
Mailing Address - Fax:201-794-6988
Practice Address - Street 1:1 BROADWAY
Practice Address - Street 2:SUITE 303
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-1842
Practice Address - Country:US
Practice Address - Phone:201-794-8855
Practice Address - Fax:201-794-6988
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2015-03-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA030883002080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine