Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 113955 | NY |
Y | 207X00000X | Orthopaedic Surgeon | 113955-1 | NY |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 113955 | NY |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 113955 | NY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 113955 | NY |
NPI | 1649261173 |
---|---|
Provider Name | Dr. Shasikant D Patel |
First Address | Schenectady, NY 12305-2014 |
Second Address | Schenectady, NY 12305-2014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2005 |
Last Update Date | 08/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00569448 | (05) | NY |
E51556 | (02) |