Individual
HRUDAY VIPUL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
521 WEEPING WILLOW DR, TEMPLE, TX 76502-5291
(254) 654-4232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
031215
NY
363AS0400X
Surgical Physician Assistant
Primary
031215
NY
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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