Provider Demographics
NPI:1881783330
Name:PATEL, HIRALAL SAVJIBHAI (MD)
Entity type:Individual
Prefix:
First Name:HIRALAL
Middle Name:SAVJIBHAI
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 1:14404 45TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2232
Mailing Address - Country:US
Mailing Address - Phone:718-353-1444
Mailing Address - Fax:
Practice Address - Street 1:14404 45TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2232
Practice Address - Country:US
Practice Address - Phone:718-353-1444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY123212207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00231636Medicaid
20584Medicare ID - Type Unspecified
C07926Medicare UPIN