Provider Demographics
NPI:1528386232
Name:PATEL, CHIRAAG D (MD)
Entity Type:Individual
Prefix:DR
First Name:CHIRAAG
Middle Name:D
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1559
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-0989
Mailing Address - Country:US
Mailing Address - Phone:631-444-2222
Mailing Address - Fax:631-444-3419
Practice Address - Street 1:101 NICOLLS ROAD, LEVEL 2, RM 749
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794
Practice Address - Country:US
Practice Address - Phone:631-444-2222
Practice Address - Fax:631-444-3419
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY273689207ZP0007X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic Pathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology