Provider Demographics
NPI:1427218775
Name:PATEL, REENAL RAJIT (MD)
Entity Type:Individual
Prefix:DR
First Name:REENAL
Middle Name:RAJIT
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:REENAL
Other - Middle Name:RAJIT
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1017 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-5986
Mailing Address - Country:US
Mailing Address - Phone:718-971-9095
Mailing Address - Fax:718-584-5869
Practice Address - Street 1:1017 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-5986
Practice Address - Country:US
Practice Address - Phone:718-971-9095
Practice Address - Fax:718-584-5869
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY262533208000000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics