Rushita Patel Medical Pllc | |
1835 Bay Ridge Pkwy Brooklyn NY 11204-5706 | |
(718) 236-6025 | |
(718) 236-6391 |
Full Name | Rushita Patel Medical Pllc |
---|---|
Speciality | Family Medicine |
Location | 1835 Bay Ridge Pkwy, Brooklyn, New York |
Authorized Official Name and Position | Rushita H Patel (OWNER) |
Authorized Official Contact | 7182366025 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rushita Patel Medical Pllc 1835 Bay Ridge Pkwy Brooklyn NY 11204-5706 Ph: (718) 236-6025 | Rushita Patel Medical Pllc 1835 Bay Ridge Pkwy Brooklyn NY 11204-5706 Ph: (718) 236-6025 |
NPI Number | 1033773189 |
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Provider Enumeration Date | 04/24/2019 |
Last Update Date | 08/26/2024 |
Medicare PECOS PAC ID | 7618201294 |
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Medicare Enrollment ID | O20190702001431 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033773189 | NPI | - | NPPES |
03053490 | Medicaid | NY | |
242719-A15 | Other | NY | HEALTHFIRST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Rushita H Patel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588868749 PECOS PAC ID: 4789760661 Enrollment ID: I20080319000056 |
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