Provider Demographics
NPI:1386653319
Name:PATEL, ARVIND KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARVIND
Middle Name:KUMAR
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1080 STELTON RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5201
Mailing Address - Country:US
Mailing Address - Phone:732-985-2552
Mailing Address - Fax:732-985-0552
Practice Address - Street 1:1080 STELTON RD
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-5201
Practice Address - Country:US
Practice Address - Phone:732-985-2552
Practice Address - Fax:732-985-0552
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA038705207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA038705OtherSTATE LICENESE
NJ25MA038705OtherSTATE LICENESE