Organization
SUDHA PATEL MD PLLC
Active
Parent organization
SUDHA PATEL MD
Other names
Sudha Patel M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUDHA PATEL MD
Authorized official
DR. SUDHA P. PATEL M.D. (PRESIDENT)
(718) 236-6025
Entity
Organization
Contact information
Practice address
1835 BAY RIDGE PARKWAY, BROOKLYN, NY 11204-5706
(718) 236-6025
(718) 236-6391
Mailing address
1835 BAY RIDGE PKWY, BROOKLYN, NY 11204-5706
(718) 236-6025
(718) 236-6391
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
129033
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008818
GHI
NY
05
—
00548861
—
NY
01
—
171260
ELDERPLAN
NY
01
—
328641
MEDICARE
NY
01
—
392382
CONNECTICARE
NY
01
—
6C0182
HEALTHNET
NY
01
—
M4070P
HIP
NY
01
—
P2042835
OXFORD
NY
Enumeration date
12/04/2007
Last updated
04/20/2008
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