Individual
KEYUR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 NAUTILUS DR APT 215, NEW LONDON, CT 06320-3172
(201) 936-5840
Mailing address
206 NAUTILUS DR APT 215, NEW LONDON, CT 06320-3172
(201) 936-5840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
66846
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2017
Last updated
04/22/2021
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