Individual
TEJAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 CANAL LANDING BLVD, SUITE #8, ROCHESTER, NY 14626-5109
(585) 239-7300
(585) 227-7723
Mailing address
2365 S CLINTON AVE, SUITE #100, ROCHESTER, NY 14618-2663
(585) 442-5320
(585) 442-5526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
210309
NY
207RC0000X
Cardiovascular Disease Physician
210309
NY
207RI0011X
Interventional Cardiology Physician
Primary
210309
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02068817
—
NY
01
—
210309 1W CIM CUD
WORKERS COMP
—
Enumeration date
05/23/2006
Last updated
12/21/2022
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