Provider Demographics
NPI:1376776054
Name:PATEL, SONAL (MD)
Entity Type:Individual
Prefix:DR
First Name:SONAL
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 PARK AVE
Mailing Address - Street 2:SUITE 1K
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-2124
Mailing Address - Country:US
Mailing Address - Phone:914-668-6140
Mailing Address - Fax:
Practice Address - Street 1:11 PARK AVE
Practice Address - Street 2:SUITE 1K
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2124
Practice Address - Country:US
Practice Address - Phone:914-668-6140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY265451207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine