Provider Demographics
NPI:1093337248
Name:PATEL, DHWANI (MD)
Entity Type:Individual
Prefix:
First Name:DHWANI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:INTERNAL MEDICINE RESIDENCY PROGRAM, CONEY ISLAND HOSPI
Mailing Address - Street 2:2601 OCEAN PARKWAY
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235
Mailing Address - Country:US
Mailing Address - Phone:718-616-3779
Mailing Address - Fax:
Practice Address - Street 1:INTERNAL MEDICINE RESIDENCY PROGRAM, CONEY ISLAND HOSPI
Practice Address - Street 2:2601 OCEAN PARKWAY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235
Practice Address - Country:US
Practice Address - Phone:718-616-3779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-11
Last Update Date:2022-03-01
Deactivation Date:2022-02-10
Deactivation Code:
Reactivation Date:2022-03-01
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program