Provider Demographics
NPI:1972762664
Name:PATEL, ANITA KANTILAL (MD)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:KANTILAL
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4615 CENTER BLVD
Mailing Address - Street 2:APT 310
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11109-5738
Mailing Address - Country:US
Mailing Address - Phone:402-578-6819
Mailing Address - Fax:
Practice Address - Street 1:4615 CENTER BLVD
Practice Address - Street 2:APT 310
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11109-5738
Practice Address - Country:US
Practice Address - Phone:402-578-6819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258694207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology