Doctor Name: | MAHENDRA J. PATEL |
NPI Number: | 1477800902 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 153975 |
Business Practice Address: | 75 Washington St Hempstead, NY - 11550 |
Business Phone Number: | 5165650777 |
Business Fax Number: | 5164866305 |
Mailing Address: | 75 Washington St, HEMPSTEAD |
State: | NY |
Postal Code: | 11550 |
Phone Number: | 5165650777 |
Fax Number: | 5164866305 |
NPI Enumeration Date: | 08/15/2012 |
NPI Last Update Date: | 08/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 153975 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |