Healthcare Provider Details

I. General information

NPI: 1598297251
Provider Name (Legal Business Name): DHARTI PATEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2017
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 10TH AVE
NEW YORK NY
10019-1147
US

IV. Provider business mailing address

PO BOX 28082
NEW YORK NY
10087-1147
US

V. Phone/Fax

Practice location:
  • Phone: 862-485-3969
  • Fax:
Mailing address:
  • Phone: 212-987-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number315387
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: