MITUL R PATEL, MD, General Practice EAST PATCHOGUE, NY

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	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for MITUL R PATEL · (Male)

NPI Number	`1285615120`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	11/08/2005
Last updated	11/15/2014 - About 12 years ago
Sole proprietor ¹	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(s)	BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care) 101 HOSPITAL ROAD PATCHOGUE, NY 11772 JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care) 75 NORTH COUNTRY ROAD PORT JEFFERSON, NY 11777

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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MITUL R PATEL, MD – NPI #1285615120General Practice

Contact Information

Specialty

General Practice

NPI Profile & details for MITUL R PATEL · (Male)

Reviews for MITUL R PATEL

MITUL R PATEL, MD – NPI #1285615120
General Practice