Provider Demographics
NPI:1457731465
Name:PATEL, ABHISHEK DILIP (MD)
Entity Type:Individual
Prefix:
First Name:ABHISHEK
Middle Name:DILIP
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 1:630 1ST AVE APT 21F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3747
Mailing Address - Country:US
Mailing Address - Phone:516-287-4435
Mailing Address - Fax:
Practice Address - Street 1:630 1ST AVE APT 21F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3747
Practice Address - Country:US
Practice Address - Phone:516-287-4435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program