Provider Demographics
NPI:1841987724
Name:PATEL, VIRAL MUKESHKUMAR (MD)
Entity type:Individual
Prefix:
First Name:VIRAL
Middle Name:MUKESHKUMAR
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:NASSAU UNIVERSITY MEDICAL CENTER
Mailing Address - Street 2:2201 HEMPSTEAD TURNPIKE
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2201 HEMPSTEAD TURNPIKE, NASSAU UNIVERSITY MEDICAL CENT
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554
Practice Address - Country:US
Practice Address - Phone:516-572-6501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-20
Last Update Date:2023-12-19
Deactivation Date:2023-11-22
Deactivation Code:
Reactivation Date:2023-12-18
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program