Provider Demographics
NPI:1760496921
Name:PATEL, HEMANT (MD)
Entity type:Individual
Prefix:DR
First Name:HEMANT
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2257 ADAM CLAYTON POWELL JR BLVD # 2257
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-7979
Mailing Address - Country:US
Mailing Address - Phone:718-364-3200
Mailing Address - Fax:212-410-4424
Practice Address - Street 1:2255 ADAM CLAYTON POWELL JR BLVD # 2257
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-7807
Practice Address - Country:US
Practice Address - Phone:212-281-5252
Practice Address - Fax:212-410-4424
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY169377207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01015512Medicaid
NY93D181Medicare ID - Type Unspecified
NYA64876Medicare UPIN