Active NPI
Shashi Patel MD
- Family Medicine Physician
- Newark, DE
National Provider Identifier
1699963058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C10002096
- Legal business name
- SHASHI PATEL MD
- Practice address
- 314 E Main St
404 Kelway Plaza
Newark, DE 19711-7128 - Phone
- (302) 737-5074
- Fax
- (302) 737-5598
- NPI assigned
- Oct 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shashi J Patel, M.D.
- Title
- Physician
- Phone
- (302) 737-5074
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C10002096 | DE | Primary |
Addresses
Primary practice location
314 E Main St
404 Kelway Plaza
Newark, DE 19711-7128
Mailing address
314 E Main St
404 Kelway Plaza
Newark, DE 19711-7128
Phone (302) 737-5074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000042301 | Medicaid | DE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Newark, DE
- NPI 1073622072
-
- Family Medicine Physician
- Wilmington, DE
- NPI 1760439038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192060800000",
"number": "1699963058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 E MAIN ST",
"address_2": "404 KELWAY PLAZA",
"city": "NEWARK",
"state": "DE",
"postal_code": "197117128",
"telephone_number": "302-737-5074",
"fax_number": "302-737-5598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 E MAIN ST",
"address_2": "404 KELWAY PLAZA",
"city": "NEWARK",
"state": "DE",
"postal_code": "197117128",
"telephone_number": "302-737-5074",
"fax_number": "302-737-5598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHASHI PATEL MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "SHASHI",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "302-737-5074",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "DE",
"license": "C10002096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000042301",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.