Provider Demographics
NPI:1790300176
Name:PATEL, NIKHIL NARESH (DO)
Entity type:Individual
Prefix:
First Name:NIKHIL
Middle Name:NARESH
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:609-953-7105
Mailing Address - Fax:609-953-7110
Practice Address - Street 1:128 ROUTE 70 STE AANDB
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-2371
Practice Address - Country:US
Practice Address - Phone:609-953-7105
Practice Address - Fax:609-953-7110
Is Sole Proprietor?:No
Enumeration Date:2020-06-11
Last Update Date:2025-07-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL125076887207Q00000X
NJ25MB11932100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine