Provider Demographics
NPI:1205815255
Name:PATEL, ARUN P (MD)
Entity Type:Individual
Prefix:
First Name:ARUN
Middle Name:P
Last Name:PATEL
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 1:610 WAYNE ST
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-2355
Mailing Address - Country:US
Mailing Address - Phone:716-372-1570
Mailing Address - Fax:716-373-2096
Practice Address - Street 1:211 ERIE ST
Practice Address - Street 2:
Practice Address - City:LITTLE VALLEY
Practice Address - State:NY
Practice Address - Zip Code:14755-1011
Practice Address - Country:US
Practice Address - Phone:716-938-9666
Practice Address - Fax:716-938-9668
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY143348207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00811692Medicaid
NY00811692Medicaid
NYDD6888Medicare ID - Type Unspecified