Provider Demographics
NPI:1265496962
Name:PATEL, VIRENDRA I (MD)
Entity Type:Individual
Prefix:
First Name:VIRENDRA
Middle Name:I
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:161 FORT WASHINGTON AVENUE, SUITE 532
Mailing Address - Street 2:HERBERT IRVING PAVILION
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-342-3255
Mailing Address - Fax:212-342-3252
Practice Address - Street 1:161 FORT WASHINGTON AVENUE, SUITE 532
Practice Address - Street 2:HERBERT IRVING PAVILION
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-342-3255
Practice Address - Fax:212-342-3252
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA207998208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery