Provider Demographics
NPI:1295070910
Name:PATEL, MONICA SIDHARAJ (MD)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:SIDHARAJ
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:7910 34TH AVE STE 1Y
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-2420
Mailing Address - Country:US
Mailing Address - Phone:718-429-2470
Mailing Address - Fax:718-247-9793
Practice Address - Street 1:7910 34TH AVE STE 1Y
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-2420
Practice Address - Country:US
Practice Address - Phone:718-429-2470
Practice Address - Fax:718-247-9793
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY267134207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03541339Medicaid