Provider Demographics
NPI:1164501128
Name:SOLANKI, BIPIN (MD)
Entity Type:Individual
Prefix:DR
First Name:BIPIN
Middle Name:
Last Name:SOLANKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 WHEATLEY AVE
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1515
Mailing Address - Country:US
Mailing Address - Phone:516-741-5070
Mailing Address - Fax:516-746-7504
Practice Address - Street 1:3744 72ND ST
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6143
Practice Address - Country:US
Practice Address - Phone:718-478-0440
Practice Address - Fax:718-478-0500
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY152355208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00898637Medicaid
NY09123Medicare ID - Type UnspecifiedGHI-MEDICARE
NYB15733Medicare UPIN
NY00898637Medicaid