Individual provider · Type 1 NPI

Poonam Mahesh Patel, DPM

Foot & Ankle Surgery Podiatrist · Philadelphia, PA

NPI number 1457032187 Active

Practice location

5800 Ridge Avenue
Philadelphia, PA 19128

Mailing address

130 Monument Rd Apt 337
Bala Cynwyd, PA 19004-1760

Other practice locations

  • 109 Wimbledon Sq Ste F, Chesapeake, VA 23320-4945 · (757) 698-4177

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X0103301488 (VA)
Foot & Ankle Surgery Podiatrist 213ES0103XSC007376 (PA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1457032187

Poonam Mahesh Patel, DPM's National Provider Identifier is 1457032187, issued on Jul 26, 2023. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Philadelphia, PA. The record was last updated on May 29, 2026.