Individual
SHANTI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 YORK STREET, CB-2041, MAIMONIDES MEDICAL CENTER, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK STREET, CB-329, MAIMONIDES MEDICAL CENTER, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
62954
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/04/2016
Last updated
06/17/2019
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