Provider Demographics
NPI:1972035574
Name:PATEL, MEGHA HASMUKHBHAI (NP)
Entity Type:Individual
Prefix:
First Name:MEGHA
Middle Name:HASMUKHBHAI
Last Name:PATEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 PONDEROSA DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-2409
Mailing Address - Country:US
Mailing Address - Phone:513-405-8652
Mailing Address - Fax:
Practice Address - Street 1:71 PONDEROSA DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-2409
Practice Address - Country:US
Practice Address - Phone:513-405-8652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-01
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY341685363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily