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Individual

DR. ISHVARBHAI S PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14404 45TH AVE, FLUSHING, NY 11355-2232
(718) 539-7355
Mailing address
14404 45TH AVE, FLUSHING, NY 11355-2232
(718) 539-7355

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
111491
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00200651
NY
Enumeration date
08/10/2005
Last updated
07/08/2007
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