Provider Demographics
NPI:1073595229
Name:PATEL, NILESH U (MD)
Entity Type:Individual
Prefix:DR
First Name:NILESH
Middle Name:U
Last Name:PATEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:130 E 77TH ST
Mailing Address - Street 2:4TH FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-1851
Mailing Address - Country:US
Mailing Address - Phone:212-434-3000
Mailing Address - Fax:212-434-2837
Practice Address - Street 1:130 E 77TH ST
Practice Address - Street 2:4TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-1851
Practice Address - Country:US
Practice Address - Phone:212-434-3000
Practice Address - Fax:212-434-2837
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY216976208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02080495Medicaid
H13565Medicare UPIN
NY02080495Medicaid