Healthcare Provider Details

I. General information

NPI: 1841987724
Provider Name (Legal Business Name): VIRAL MUKESHKUMAR PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date: 11/22/2023
Reactivation Date: 12/18/2023

III. Provider practice location address

2201 HEMPSTEAD TURNPIKE, NASSAU UNIVERSITY MEDICAL CENT
EAST MEADOW NY
11554
US

IV. Provider business mailing address

NASSAU UNIVERSITY MEDICAL CENTER 2201 HEMPSTEAD TURNPIKE
EAST MEADOW NY
11554
US

V. Phone/Fax

Practice location:
  • Phone: 516-572-6501
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number345433
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: