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Individual

SHARAD K PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3184 GRAND CONCOURSE, #2E, BRONX, NY 10458
(718) 365-4364
(718) 365-5817
Mailing address
3184 GRAND CONCOURSE, #2E, BRONX, NY 10458-1007
(718) 365-4364
(718) 365-5817

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
174974
NY
207RG0100X
Gastroenterology Physician
Primary
174974
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01363735
NY
Enumeration date
10/03/2006
Last updated
02/04/2009
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