Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kanan Patel, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720641921

Kanan Patel, PA is a Student in an Organized Health Care Education/Training Program in Neptune, New Jersey. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1944 Corlies Ave Ste 101
Neptune, NJ 07753
Phone: (732) 775-8444
Fax: (732) 775-8550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720641921
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 15, 2019
Last updated in NPPESJanuary 24, 2022
Certification dateJanuary 18, 2022
Mailing address6314 N Queensway Dr, Temple Terrace, FL 33617-2416

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