Provider Demographics
NPI:1114019700
Name:PATIL, ALLAMPRABHU SAHEBGOUDA (MD)
Entity Type:Individual
Prefix:
First Name:ALLAMPRABHU
Middle Name:SAHEBGOUDA
Last Name:PATIL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1 COUNTRY MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-2026
Mailing Address - Country:US
Mailing Address - Phone:516-586-6330
Mailing Address - Fax:516-586-6326
Practice Address - Street 1:1 COUNTRY MEADOW CT
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-2026
Practice Address - Country:US
Practice Address - Phone:631-367-6427
Practice Address - Fax:631-367-6234
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2024-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1796972084N0008X, 2084S0012X, 2084V0102X, 2084N0400X, 2084A2900X, 2084D0003X, 2084E0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
No2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care
No2084D0003XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyDiagnostic Neuroimaging
No2084E0001XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyEpilepsy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01277430Medicaid
NY01277430Medicaid
F15962Medicare UPIN