Healthcare Provider Details

I. General information

NPI: 1740743210
Provider Name (Legal Business Name): SUMIT J. PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2019
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPARTMENT OF INTERNAL MEDICINE 1 UNM MSC10 5550
ALBUQUERQUE NM
87131-0001
US

IV. Provider business mailing address

DEPARTMENT OF INTERNAL MEDICINE 1 UNM MSC10 5550
ALBUQUERQUE NM
87131-0001
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-4751
  • Fax:
Mailing address:
  • Phone: 505-272-4751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number13274779-1205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number13274779-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: