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Individual
SHAILESH SURESH PATHARE
Active
Individual
SHAILESH SURESH PATHARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
205677-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012J1
EMPIRE BC BS
NY
05
—
02006962
—
NY
01
—
173446
ELDERPLAN
NY
01
—
205677
HIP
NY
01
—
355618300
US DEPT OF LABOR
NY
01
—
4C4399
PHS/HEALTHNET
NY
01
—
8799893
GHI
NY
01
—
P00006210
RAILROAD MEDICARE
NY
01
—
P1883750
OXFORD
NY
Enumeration date
10/24/2006
Last updated
05/10/2021
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