Mitul R. Patel M.d. P.c. | |
250 Patchogue Yaphank Rd Suite 7 East Patchogue NY 11772-4800 | |
(631) 289-0900 | |
(631) 758-2542 |
Full Name | Mitul R. Patel M.d. P.c. |
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Speciality | General Practice |
Location | 250 Patchogue Yaphank Rd, East Patchogue, New York |
Authorized Official Name and Position | Mitul R. Patel (PRESIDENT) |
Authorized Official Contact | 6312890900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mitul R. Patel M.d. P.c. 250 Patchogue Yaphank Rd Suite 7 East Patchogue NY 11772-4800 Ph: (631) 289-0900 | Mitul R. Patel M.d. P.c. 250 Patchogue Yaphank Rd Suite 7 East Patchogue NY 11772-4800 Ph: (631) 289-0900 |
NPI Number | 1245521673 |
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Provider Enumeration Date | 04/19/2011 |
Last Update Date | 04/19/2011 |
Medicare PECOS PAC ID | 3870762131 |
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Medicare Enrollment ID | O20110803000508 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245521673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 203391 (New York) | Primary |
Provider Name | Mitul R Patel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285615120 PECOS PAC ID: 4587606843 Enrollment ID: I20050526000174 |
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