Healthcare Provider Details

I. General information

NPI: 1982258851
Provider Name (Legal Business Name): PATEL MEDICAL CARE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2019
Last Update Date: 01/22/2024
Certification Date: 01/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25020 HILLSIDE AVE
BELLEROSE NY
11426-2149
US

IV. Provider business mailing address

8314 265TH ST
GLEN OAKS NY
11004-1721
US

V. Phone/Fax

Practice location:
  • Phone: 718-662-6630
  • Fax:
Mailing address:
  • Phone: 347-886-5203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: BHARGAV PATEL
Title or Position: MANAGING MEMBER /MEDICAL DOCTOR
Credential: MD
Phone: 718-662-6630