Provider Demographics
NPI:1326056284
Name:PATEL, DIPAL R (MD)
Entity Type:Individual
Prefix:DR
First Name:DIPAL
Middle Name:R
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DIPAL
Other - Middle Name:R
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:390 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-3125
Mailing Address - Country:US
Mailing Address - Phone:973-755-1585
Mailing Address - Fax:201-839-3312
Practice Address - Street 1:390 NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-3125
Practice Address - Country:US
Practice Address - Phone:973-755-1585
Practice Address - Fax:201-839-3312
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08280100207RN0300X, 207R00000X
NY241237207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine