Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 25MA08510000 | NJ |
N | 208000000X | Pediatrician | 266290 | NY |
N | 2080P0208X | Pediatric Infectious Diseases | 266290 | NY |
NPI | 1114119377 |
---|---|
Provider Name | Dr. Deepti Patel |
First Address | Chatham, NJ 07928-2515 |
Second Address | Madison, NJ 07940-2288 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2007 |
Last Update Date | 23/02/2021 |