Provider Demographics
NPI:1659487858
Name:PATEL, ATUL V (MD)
Entity Type:Individual
Prefix:DR
First Name:ATUL
Middle Name:V
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:34-36 PROGRESS ST
Mailing Address - Street 2:ST# A6
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1197
Mailing Address - Country:US
Mailing Address - Phone:908-757-9555
Mailing Address - Fax:908-757-2312
Practice Address - Street 1:34-36 PROGRESS ST
Practice Address - Street 2:ST # A6
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1197
Practice Address - Country:US
Practice Address - Phone:908-757-9555
Practice Address - Fax:908-757-2312
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2014-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA39596207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1304500Medicaid
NJ1304500Medicaid
NJ451124YASXMedicare PIN