Provider Demographics
NPI:1720387236
Name:PATEL, KRISHNA BHARAT (MD)
Entity Type:Individual
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First Name:KRISHNA
Middle Name:BHARAT
Last Name:PATEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:301 PROSPECT AVE
Mailing Address - Street 2:MEDICAL STAFF OFFICE
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13203-1807
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:104 UNION AVE
Practice Address - Street 2:STE 1001-1002
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-1846
Practice Address - Country:US
Practice Address - Phone:315-423-7192
Practice Address - Fax:315-423-8013
Is Sole Proprietor?:No
Enumeration Date:2011-03-23
Last Update Date:2022-08-11
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Provider Licenses
StateLicense IDTaxonomies
NY270881208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)