Individual
DR. KEYOOR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, FACC
Contact information
Practice address
30 HARRISON ST STE 250, JOHNSON CITY, NY 13790-2176
(607) 770-8600
(607) 770-0853
Mailing address
33 LEWIS RD, STE 2, BINGHAMTON, NY 13905-1040
(607) 763-6580
(607) 763-6782
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
244015
NY
207RC0000X
Cardiovascular Disease Physician
Primary
244015
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03379288
—
NY
Enumeration date
04/25/2007
Last updated
10/17/2017
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