Individual
SUMUKH B PATIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
82-68 164TH ST., ROOM G 52, JAMAICA, NY 11432
(718) 883-4406
Mailing address
82-68 164TH ST., ROOM G 52, JAMAICA, NY 11432
(718) 883-4406
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD443030
PA
2085R0202X
Diagnostic Radiology Physician
MT181850
PA
Other
Enumeration date
05/03/2007
Last updated
04/24/2013
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