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Individual

DR. SHYAM PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
825 E GATE BLVD STE 111, GARDEN CITY, NY 11530-2136
(516) 804-5200
Mailing address
825 E GATE BLVD STE 111, GARDEN CITY, NY 11530-2136
(256) 783-6872

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125066242
IL
207W00000X
Ophthalmology Physician
Primary
302791
NY
207W00000X
Ophthalmology Physician
82826
GA

Other

Enumeration date
06/03/2015
Last updated
01/06/2023
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