Individual
VISHAL KIRANKUMAR PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-2401
(718) 920-5506
(718) 920-4854
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-7955
(631) 444-7538
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
267477
MA
2085R0202X
Diagnostic Radiology Physician
Primary
309436
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2016
Last updated
05/09/2022
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