Provider Demographics
NPI:1467453571
Name:PATEL, HARSHIT M (MD)
Entity Type:Individual
Prefix:DR
First Name:HARSHIT
Middle Name:M
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 BETHPAGE RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-1515
Mailing Address - Country:US
Mailing Address - Phone:516-822-6655
Mailing Address - Fax:516-932-2090
Practice Address - Street 1:120 BETHPAGE RD
Practice Address - Street 2:SUITE 310
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-1515
Practice Address - Country:US
Practice Address - Phone:516-822-6655
Practice Address - Fax:516-932-2090
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2010-12-16
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-04-03
Provider Licenses
StateLicense IDTaxonomies
NY220306207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02315557Medicaid
NYH73471Medicare UPIN
NY5N6531Medicare PIN