Provider Demographics
NPI:1952698334
Name:PATEL, ANITA (DPM)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 YORK RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-4516
Mailing Address - Country:US
Mailing Address - Phone:215-672-3222
Mailing Address - Fax:215-672-6634
Practice Address - Street 1:399 YORK RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-4516
Practice Address - Country:US
Practice Address - Phone:215-672-3222
Practice Address - Fax:215-672-6634
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006323213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery