Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD465624 | PA |
NPI | 1043571326 |
---|---|
Provider Name | Dr. Dipen Chandrakant Patel |
First Address | Allentown, PA 18103-5622 |
Second Address | East Stroudsburg, PA 18301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2012 |
Last Update Date | 12/09/2018 |