Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 269284 | NY |
N | 207R00000X | Internist | 125052002 | IL |
N | 111NI0900X | Internist | 125052002 | IL |
N | 207RA0201X | Internist - Allergy & Immunology | 53439 | MN |
NPI | 1174783633 |
---|---|
Provider Name | Dr. Sujan Patel |
First Address | New York, NY 10012-1402 |
Second Address | New York, NY 10012-1402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 30/03/2021 |