Provider Demographics
NPI:1285024935
Name:PATEL, SACHIN S (MD)
Entity Type:Individual
Prefix:
First Name:SACHIN
Middle Name:S
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 CLYDE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-5050
Mailing Address - Country:US
Mailing Address - Phone:917-714-4431
Mailing Address - Fax:732-873-9500
Practice Address - Street 1:23 CLYDE RD STE 101
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5050
Practice Address - Country:US
Practice Address - Phone:732-873-9500
Practice Address - Fax:732-873-0261
Is Sole Proprietor?:No
Enumeration Date:2015-02-03
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA1008200207RN0300X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program