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Individual

DR. KEPAL PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
530 1ST AVE STE 6H, NEW YORK, NY 10016-6402
(212) 263-7710
(212) 263-2828
Mailing address
530 1ST AVE STE 6H, NEW YORK, NY 10016-6402

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
225159
NY
2086X0206X
Surgical Oncology Physician
Primary
225159
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02647212
NY
01
3G052WT541
MEDICARE
NY
01
7206732
AETNA
NY
Enumeration date
07/18/2006
Last updated
12/01/2021
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