Provider Demographics
NPI:1679773006
Name:PATEL, RISHIN A (MD)
Entity type:Individual
Prefix:
First Name:RISHIN
Middle Name:A
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1030 KINGS HWY N
Mailing Address - Street 2:STE 200
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-1907
Mailing Address - Country:US
Mailing Address - Phone:888-985-2727
Mailing Address - Fax:856-779-0211
Practice Address - Street 1:100 E LANCASTER AVE
Practice Address - Street 2:SUITE 233
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3450
Practice Address - Country:US
Practice Address - Phone:484-458-1000
Practice Address - Fax:610-642-2036
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2017-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD440188208VP0014X
NJ25MA09034500208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA220659Q7RMedicare PIN
NJ234457V6LMedicare PIN