Provider Demographics
NPI:1811146236
Name:PATEL, UMESH (MD)
Entity type:Individual
Prefix:
First Name:UMESH
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 435
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-0435
Mailing Address - Country:US
Mailing Address - Phone:845-897-8717
Mailing Address - Fax:845-897-8718
Practice Address - Street 1:200 WESTAGE BUSINESS CTR DR
Practice Address - Street 2:SUITE 115
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2264
Practice Address - Country:US
Practice Address - Phone:845-897-8717
Practice Address - Fax:845-897-8718
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY245302207RR0500X, 282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG300000175Medicare PIN