Provider Demographics
NPI:1124469556
Name:PATEL, PARUL NIRANJAN (MD)
Entity type:Individual
Prefix:
First Name:PARUL
Middle Name:NIRANJAN
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 ROUTE 28
Mailing Address - Street 2:BUILDING 2, SUITE 2205
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869
Mailing Address - Country:US
Mailing Address - Phone:908-725-5530
Mailing Address - Fax:908-253-6559
Practice Address - Street 1:575 ROUTE 28
Practice Address - Street 2:BUILDING 2, SUITE 2100
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869
Practice Address - Country:US
Practice Address - Phone:908-725-1802
Practice Address - Fax:908-203-8825
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD449340208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics