Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 225159 | NY |
N | 208600000X | Surgeon | 225159 | NY |
Y | 2086X0206X | Surgical Oncologist | 225159 | NY |
NPI | 1306865787 |
---|---|
Provider Name | Dr. Kepal Patel |
First Address | New York, NY 10016-6402 |
Second Address | New York, NY 10016-6402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 01/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02647212 | (05) | NY |
3G052WT541 | MEDICARE (01) | NY |
7206732 | AETNA (01) | NY |