Provider Demographics
NPI:1659461416
Name:PATEL, BABUBHAI I (MD)
Entity Type:Individual
Prefix:
First Name:BABUBHAI
Middle Name:I
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 1:2015 AMSTERDAM AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-5013
Mailing Address - Country:US
Mailing Address - Phone:212-781-2560
Mailing Address - Fax:212-927-6136
Practice Address - Street 1:2015 AMSTERDAM AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-5013
Practice Address - Country:US
Practice Address - Phone:212-781-2560
Practice Address - Fax:212-927-6136
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ160703N.Y.207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine