MEDICARE: NIMESH PATEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	226322	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952380156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NIMESH PATEL

Provider Business Mailing Address
First Line	:	10844 63RD DR
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-1410
Country	:	US
Telephone Number	:	917-502-9485
Fax Number	:	718-897-4484

Provider Business Practice Location Address
First Line	:	3415 31ST AVE
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11106-1450
Country	:	US
Telephone Number	:	718-932-9070
Fax Number	:	718-278-6613

Authorized Official
Title or Position	:	SOLE PROPRIETER
Name	:	DR. NIMESH PATEL
Credential	:	MD
Telephone Number	:	917-502-9485

Provider Enumeration Date	:	01/16/2006
Last Update Date	:	06/17/2008

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Directions to “NIMESH PATEL ” Practice Location

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