Healthcare Provider Details

I. General information

NPI: 1811146236
Provider Name (Legal Business Name): UMESH PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2008
Last Update Date: 03/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WESTAGE BUSINESS CTR DR SUITE 115
FISHKILL NY
12524-2264
US

IV. Provider business mailing address

PO BOX 435
FISHKILL NY
12524-0435
US

V. Phone/Fax

Practice location:
  • Phone: 845-897-8717
  • Fax: 845-897-8718
Mailing address:
  • Phone: 845-897-8717
  • Fax: 845-897-8718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number245302
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number245302
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: