Provider Demographics
NPI:1770775207
Name:PATEL, VARSHABEN TEJASKUMAR (MD)
Entity type:Individual
Prefix:
First Name:VARSHABEN
Middle Name:TEJASKUMAR
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VARSHABEN
Other - Middle Name:DAHYABHAI
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:99 GATHERINGHILL CT
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-1190
Mailing Address - Country:US
Mailing Address - Phone:973-989-8933
Mailing Address - Fax:
Practice Address - Street 1:362 PARSIPPANY RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-5102
Practice Address - Country:US
Practice Address - Phone:973-240-7436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2012-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08272000208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics