Provider Demographics
NPI:1831398452
Name:PATEL, BADRISH JAYANTI (MD)
Entity type:Individual
Prefix:MR
First Name:BADRISH
Middle Name:JAYANTI
Last Name:PATEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4745 OGLETOWN STANTON RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2067
Mailing Address - Country:US
Mailing Address - Phone:302-368-5515
Mailing Address - Fax:302-266-6168
Practice Address - Street 1:2 PENNS WAY
Practice Address - Street 2:SUITE 407
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-2407
Practice Address - Country:US
Practice Address - Phone:302-613-5080
Practice Address - Fax:302-328-7313
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2011-03-03
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Provider Licenses
StateLicense IDTaxonomies
FLME99306207RP1001X
DEC1-0008634207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE003985P26Medicare PIN