Provider Demographics
NPI:1780671859
Name:PATEL, MINAXI G (MD)
Entity type:Individual
Prefix:
First Name:MINAXI
Middle Name:G
Last Name:PATEL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 EASY ST STE 220
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-3129
Mailing Address - Country:US
Mailing Address - Phone:724-438-1883
Mailing Address - Fax:412-278-1399
Practice Address - Street 1:211 EASY ST STE 220
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-3129
Practice Address - Country:US
Practice Address - Phone:724-438-1883
Practice Address - Fax:412-278-1399
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-04
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038976-L207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA181358OtherHIGHMARK
PA019159OtherMEDICARE PTAN
PA323260OtherMEDICARE PTAN
PA019154OtherHIGHMARK
PA0014923210008Medicaid