Kunjal Patel
Physician Assistant in Philadelphia, PA. Individual provider (NPI-1).
NPI number1104799485
StatusActive
Last updated in NPPESSep 24, 2025
Details
- NPI
- 1104799485
- Entity type
- Individual (NPI-1)
- Name
- Kunjal Patel
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2025
- Certification date
- Sep 24, 2025
- Last updated
- Sep 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
3400 Spruce StPhiladelphia, PA 19104-4238
Phone 215-662-4400
Mailing address
3400 Spruce StPhiladelphia, PA 19104-4238
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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