Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shruti Gaurang Patel, PA-C

Individual provider Physician Assistant · NPI 1376318188

Shruti Gaurang Patel, PA-C is a Physician Assistant in Wynnewood, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 E Lancaster Ave Ste 256 Mob East
Wynnewood, PA 19096-3432
Phone: (610) 649-6800
Fax: (484) 572-6305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3400 Spruce Street, Philadelphia, PA 19104-4206 — (215) 662-3487

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA065252 (PA)
Physician Assistant Taxonomy 363A00000X · Licence MA065252 (PA)

Record details

NPI number1376318188
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 21, 2023
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Wynnewood