Provider Demographics
NPI:1366948515
Name:PATEL, MUDITA (DO)
Entity type:Individual
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First Name:MUDITA
Middle Name:
Last Name:PATEL
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Gender:F
Credentials:DO
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Mailing Address - Street 1:101 E OLNEY AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-2470
Mailing Address - Country:US
Mailing Address - Phone:215-456-7000
Mailing Address - Fax:215-456-5926
Practice Address - Street 1:5401 OLD YORK RD STE 300
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3045
Practice Address - Country:US
Practice Address - Phone:215-456-6948
Practice Address - Fax:215-455-1933
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2025-01-10
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Provider Licenses
StateLicense IDTaxonomies
PAOS022943207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease