Provider Demographics
NPI:1811181878
Name:KLEIN-PATEL, MARCIA ELLEN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:ELLEN
Last Name:KLEIN-PATEL
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 HIGBEE DR STE D206
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-4200
Mailing Address - Country:US
Mailing Address - Phone:412-854-7140
Mailing Address - Fax:412-854-7142
Practice Address - Street 1:1000 HIGBEE DR STE D206
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-4200
Practice Address - Country:US
Practice Address - Phone:412-854-7140
Practice Address - Fax:412-854-7142
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD435991207V00000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102505006Medicaid
PA190493NHMMedicare PIN