Provider Demographics
NPI:1821550294
Name:PATEL, KUSH (MD)
Entity Type:Individual
Prefix:DR
First Name:KUSH
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 1:2255-2257 ADAM CLAYTON POWELL BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-7979
Mailing Address - Country:US
Mailing Address - Phone:212-281-5252
Mailing Address - Fax:212-348-5194
Practice Address - Street 1:2255-2257 ADAM CLAYTON POWELL BLVD
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-7979
Practice Address - Country:US
Practice Address - Phone:212-281-5252
Practice Address - Fax:212-348-5194
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY318554207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine