Individual
SHALIN JITENDRA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
365 BROADWAY, KINGSTON, NY 12401
(845) 331-5165
(845) 331-6238
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9661
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
283731
NY
207RI0011X
Interventional Cardiology Physician
Primary
283731
NY
207UN0901X
Nuclear Cardiology Physician
283731
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04496773
—
NY
Enumeration date
06/03/2010
Last updated
09/07/2018
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