Individual
KAVITA M. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
360 BARD AVE, STATEN ISLAND, NY 10310-1666
(718) 876-2000
(718) 876-2006
Mailing address
360 BARD AVE, STATEN ISLAND, NY 10310-1666
(718) 876-2000
(718) 876-2006
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2006-01499
NC
2085R0202X
Diagnostic Radiology Physician
Primary
231636
NY
2085R0202X
Diagnostic Radiology Physician
25MA08367500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163341
—
NJ
Enumeration date
05/31/2007
Last updated
09/11/2012
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