Provider Demographics
NPI:1881109221
Name:PATEL CARDIOVASCULAR CONSULTANTS LLC
Entity type:Organization
Organization Name:PATEL CARDIOVASCULAR CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:MRUGESH
Authorized Official - Middle Name:B
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-588-8922
Mailing Address - Street 1:308 PENNINGTON TITUSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-4103
Mailing Address - Country:US
Mailing Address - Phone:215-588-8922
Mailing Address - Fax:267-358-5448
Practice Address - Street 1:240 MIDDLETOWN BLVD STE 101C
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:267-560-5461
Practice Address - Fax:267-358-5448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-07
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD068305L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1034883300001Medicaid
PA656194OtherAETNA
PA003805991OtherPABS HIGHMARK
PA656194OtherMEDICARE