Provider Demographics
NPI:1770568610
Name:PATEL, ARUNA SURESHBHAI (MD LLC)
Entity type:Individual
Prefix:DR
First Name:ARUNA
Middle Name:SURESHBHAI
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD LLC
Other - Prefix:DR
Other - First Name:ARUNA
Other - Middle Name:S
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD LLC
Mailing Address - Street 1:725 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-2347
Mailing Address - Country:US
Mailing Address - Phone:908-351-8989
Mailing Address - Fax:908-351-8879
Practice Address - Street 1:725 N BROAD ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-2347
Practice Address - Country:US
Practice Address - Phone:908-351-8989
Practice Address - Fax:908-351-8879
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03684700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0028598OtherGHI
NJ1044481OtherHORIZON N.J. HEALTH
NJ01000020700OtherAMERICHOICE
NJ11045OtherUNIVERSITY HEALTH PLANS,
NJ222328190-001OtherQUALCARE
NJ469006OtherAETNA
NJ156267OtherONE HEALTH PLAN
NJ010000207 00OtherAMERICHOICE PERSONAL CARE
NJ0112022001OtherAMERIHEALTH
NJ153412OtherUNITED HEALTHCARE
NJ3834701Medicaid
NJ3839701OtherAMERIGROUP
NJ0004117590OtherAETNA
NJ156267OtherONE HEALTH PLAN
NJ222328190-001OtherQUALCARE