Provider Demographics
NPI:1053461384
Name:PATEL-CHILLE, NEHAL PUNAM (OD)
Entity Type:Individual
Prefix:DR
First Name:NEHAL
Middle Name:PUNAM
Last Name:PATEL-CHILLE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 SELKIRK DR
Mailing Address - Street 2:
Mailing Address - City:N TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-2841
Mailing Address - Country:US
Mailing Address - Phone:716-207-2337
Mailing Address - Fax:716-677-6507
Practice Address - Street 1:301 STERLING DR
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1570
Practice Address - Country:US
Practice Address - Phone:716-677-6500
Practice Address - Fax:716-677-6507
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV006669152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02651536Medicaid
NYU98610Medicare UPIN
NYJ400082539Medicare PIN