Provider Demographics
NPI:1851691984
Name:PATEL, DEWANSHI PRAVIN (RPA-C)
Entity Type:Individual
Prefix:MS
First Name:DEWANSHI
Middle Name:PRAVIN
Last Name:PATEL
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7017 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-3922
Mailing Address - Country:US
Mailing Address - Phone:718-565-5600
Mailing Address - Fax:718-565-5686
Practice Address - Street 1:4189 VETERANS MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1274
Practice Address - Country:US
Practice Address - Phone:585-201-5598
Practice Address - Fax:585-201-5599
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014375-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant