| Babu Patel Mdpc | |
|
1963a Daly Ave Bronx NY 10460-2803 | |
| (718) 991-8300 | |
| (718) 542-7077 |
| Full Name | Babu Patel Mdpc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1963a Daly Ave, Bronx, New York |
| Authorized Official Name and Position | Babu Patel (SOLE PROPRIETER) |
| Authorized Official Contact | 7189918300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Babu Patel Mdpc 1963a Daly Ave Bronx NY 10460-2803 Ph: (718) 991-8300 | Babu Patel Mdpc 1963a Daly Ave Bronx NY 10460-2803 Ph: (718) 991-8300 |
| NPI Number | 1649259730 |
|---|---|
| Provider Enumeration Date | 01/17/2006 |
| Last Update Date | 07/23/2010 |
| Medicare PECOS PAC ID | 6800802091 |
|---|---|
| Medicare Enrollment ID | O20101209000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649259730 | NPI | - | NPPES |
| 03193368 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 208536 (New York) | Primary |
| Provider Name | Babu A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689654220 PECOS PAC ID: 6507872793 Enrollment ID: I20060228000306 |
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