Provider Demographics
NPI:1033482856
Name:DILIP J. PATEL, M.D., P.C.
Entity Type:Organization
Organization Name:DILIP J. PATEL, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DILIP
Authorized Official - Middle Name:J
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MC
Authorized Official - Phone:716-837-1090
Mailing Address - Street 1:65 WEHRLE DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14225-1085
Mailing Address - Country:US
Mailing Address - Phone:716-837-1090
Mailing Address - Fax:716-837-0023
Practice Address - Street 1:65 WEHRLE DR
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14225-1085
Practice Address - Country:US
Practice Address - Phone:716-837-1090
Practice Address - Fax:716-837-0023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY113684152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1437177425Medicaid
NYC58044Medicare UPIN