Provider Demographics
NPI:1851303275
Name:PATEL, VIKRAM A (MD)
Entity Type:Individual
Prefix:DR
First Name:VIKRAM
Middle Name:A
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:65 SQUIRE LN
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-8610
Mailing Address - Country:US
Mailing Address - Phone:518-626-6600
Mailing Address - Fax:518-626-5916
Practice Address - Street 1:113 HOLLAND AVE
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3410
Practice Address - Country:US
Practice Address - Phone:518-626-6600
Practice Address - Fax:518-626-5918
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY193736207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine