Provider Demographics
NPI:1003899543
Name:PATEL, HARSHAD
Entity type:Individual
Prefix:
First Name:HARSHAD
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SHENANGO AVE
Mailing Address - Street 2:SUITE 100 A
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-1503
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 DAYTON WAY STE 5
Practice Address - Street 2:SUITE 100 A
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-2185
Practice Address - Country:US
Practice Address - Phone:724-342-6620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD0518772084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016145400026Medicaid
PAG39359Medicare UPIN
PA188742RN0Medicare PIN