| Sudha Patel M.D. | |
|
1835 Bay Ridge Parkway Brooklyn NY 11204-5706 | |
| (718) 236-6025 | |
| (718) 236-6391 |
| Full Name | Sudha Patel M.D. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1835 Bay Ridge Parkway, Brooklyn, New York |
| Authorized Official Name and Position | Sudha P. Patel (PRESIDENT) |
| Authorized Official Contact | 7182366025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sudha Patel M.D. 1835 Bay Ridge Pkwy Brooklyn NY 11204-5706 Ph: (718) 236-6025 | Sudha Patel M.D. 1835 Bay Ridge Parkway Brooklyn NY 11204-5706 Ph: (718) 236-6025 |
| NPI Number | 1689856403 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689856403 | NPI | - | NPPES |
| 0008818 | Other | NY | GHI |
| 171260 | Other | NY | ELDERPLAN |
| 6C0182 | Other | NY | HEALTHNET |
| M4070P | Other | NY | HIP |
| 328641 | Other | NY | MEDICARE |
| 392382 | Other | NY | CONNECTICARE |
| 00548861 | Medicaid | NY | |
| P2042835 | Other | NY | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 129033 (New York) | Primary |
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