Patel, Dershna

Patel, Dershna is an individual health care provider with primary practice located at 278 Eagleview Blvd , Exton PA 19341-1157. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Patel, Dershna can be contacted via phone (512) 888-2088.

Contact Information

Primary practice address
278 Eagleview Blvd Exton PA 19341-1157
Phone: (512) 888-2088
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 052967 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00220100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Texas

Profile Details

NPI number 1023298064
LBN Legal business name Patel, Dershna
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2007
Last updated Jun 28th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023298064 NPPES
Pennsylvania MEDICAID 052967

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