# SANTABA MEDICAL P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275766008
- **Authorized official:** DR. SHARAD KALIDAS PATEL (PRESIDENT)
- **Authorized official phone:** (718) 365-4364

## Contact information

- **Practice address:** 3184 GRAND CONCOURSE, APT. \#2F, BRONX, NY 10458
- **Practice address phone:** (718) 365-4364
- **Practice address fax:** (718) 365-5817
- **Mailing address:** 3184 GRAND CONCOURSE, APT. \#2F, BRONX, NY 10458
- **Mailing address phone:** (718) 365-4364
- **Mailing address fax:** (718) 365-5817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 174974 | NY | Yes |

## Other

- **Enumeration date:** 08/27/2009
- **Last updated:** 08/27/2009