Provider Demographics
NPI:1588644991
Name:PATEL, GIRISH (MD)
Entity Type:Individual
Prefix:DR
First Name:GIRISH
Middle Name:
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 1:765 AMSTERDAM AVE
Mailing Address - Street 2:#1F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5722
Mailing Address - Country:US
Mailing Address - Phone:212-663-3600
Mailing Address - Fax:212-663-3603
Practice Address - Street 1:765 AMSTERDAM AVE
Practice Address - Street 2:#1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5722
Practice Address - Country:US
Practice Address - Phone:212-663-3600
Practice Address - Fax:212-663-3603
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY193928207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY112089POtherHIP OF NY
NY117915613OtherUHC PPO
NY01467918Medicaid
NY3009999OtherAETNA
NYNP1330OtherOXFORD
NY164996OtherELDERPLAN
NYRMCO-008758OtherMETROPLUS
NY229623OtherWELLCARE OF NY
NY4935247011OtherCIGNA HEALTHCARE
NY075AA2OtherEMPIRE BC/BS
NY193928-E20OtherHEALTH FIRST
NY2594037OtherGHI
NY4935247011OtherCIGNA HEALTHCARE
NY117915613OtherUHC PPO
NY193928-E20OtherHEALTH FIRST
NY01467918Medicaid