Provider Demographics
NPI:1013017193
Name:PATEL, NEELA K (MD)
Entity Type:Individual
Prefix:
First Name:NEELA
Middle Name:K
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:348 LOWELL AVE
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-1640
Mailing Address - Country:US
Mailing Address - Phone:516-326-0506
Mailing Address - Fax:347-426-9620
Practice Address - Street 1:21408 HILLSIDE AVE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-1808
Practice Address - Country:US
Practice Address - Phone:347-426-9494
Practice Address - Fax:347-426-9620
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2013-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY241193207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine