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Organization

SANTABA MEDICAL P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHARAD KALIDAS PATEL (PRESIDENT)
(718) 365-4364
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
174974
NY

Other

Enumeration date
08/27/2009
Last updated
08/27/2009
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