National Provider Identifier Database

MITUL R PATEL, MD – NPI #1285615120
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Contact Information

MITUL R PATEL, MD
250 PATCHOGUE YAPHANK RD
SUITES # 7
EAST PATCHOGUE, NY  11772-4800
Phone: 631-289-0900
Fax: 631-569-4909
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for MITUL R PATEL

NPI Number 1285615120
Credentials MD
Entity Individual
Enumeration date 11/08/2005
Last updated 11/15/2014 - About 12 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 203391
  • NY Medicaid: 01849976
  • NY Medicaid: 018499760
  • NY Other: 2046588 AETNA PROVIDER NUMBER
  • NY Other: 004AF3 EMPIRE BLUE CROSS ID
  • NY Other: 100693 HIP HEALTH PLAN ID NO.
  • NY Other: P452012 OXFORD HEALTH ID NO.
  • NY Other: P00214307 RR MEDICARE ID NO.
  • NY Other: 67712 VYTRA HEALTH ID NO.
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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