Healthcare Provider Details

I. General information

NPI: 1114941952
Provider Name (Legal Business Name): CHIRAG RASHMI PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 07/05/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 WEST STREET SUITE #001
CANANDAIGUA NY
14424-1723
US

IV. Provider business mailing address

1445 PORTLAND AVENUE, PARNALL OFFICE BLDG. SUITE # 309
ROCHESTER NY
14625-3008
US

V. Phone/Fax

Practice location:
  • Phone: 585-398-2420
  • Fax: 585-730-7500
Mailing address:
  • Phone: 585-342-2638
  • Fax: 585-730-7500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number233021
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: