Individual
DR. SUJAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 LAGUARDIA PL, NEW YORK, NY 10012-1402
(646) 943-7931
Mailing address
555 LAGUARDIA PL, NEW YORK, NY 10012-1402
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
269284
NY
207R00000X
Internal Medicine Physician
125052002
IL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
53439
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2008
Last updated
03/30/2021
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