Individual
DEEPA BHUPENDRA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-5277
Mailing address
4142 24TH ST APT 1212, LONG ISLAND CITY, NY 11101-4010
(913) 220-4614
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
271931
NY
208000000X
Pediatrics Physician
271931
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
NY
Enumeration date
03/28/2012
Last updated
05/23/2019
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