Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS018203 | PA |
N | 208000000X | Pediatrician | 278717 | NY |
NPI | 1295097376 |
---|---|
Provider Name | Dr. Meghna M Patel |
First Address | Philadelphia, PA 19182-4112 |
Second Address | Philadelphia, PA 19131-1633 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2012 |
Last Update Date | 13/10/2020 |