Organization
SUDHA PATEL MD PLLC
Active
Parent organization
SUDHA PATEL, MD PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUDHA PATEL, MD PLLC
Authorized official
MISS SUDHA P PATEL (OWNER)
(718) 236-6025
Entity
Organization
Contact information
Practice address
1835 BAY RIDGE PKWY, 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
208600000X
Surgery Physician
Primary
129033
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00548861
—
NY
01
—
0143156
GHI
NY
Enumeration date
05/15/2008
Last updated
10/07/2008
Update your record
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