Provider Demographics
NPI:1275662280
Name:PATEL, ARTI (MD)
Entity type:Individual
Prefix:
First Name:ARTI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 MALL BLVD
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3261
Mailing Address - Country:US
Mailing Address - Phone:215-997-9441
Mailing Address - Fax:215-997-6730
Practice Address - Street 1:210 MALL BLVD
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-3261
Practice Address - Country:US
Practice Address - Phone:215-997-9441
Practice Address - Fax:215-997-6730
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4309372080P0205X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101901185Medicaid
PA116759Medicare PIN