Healthcare Provider Details

I. General information

NPI: 1730640004
Provider Name (Legal Business Name): NIRALI MAHESHKUMAR PATEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 E 38TH ST FL 14
NEW YORK NY
10016-2708
US

IV. Provider business mailing address

591 3RD AVE UNIT 15A
NEW YORK NY
10016-9818
US

V. Phone/Fax

Practice location:
  • Phone: 646-501-7890
  • Fax:
Mailing address:
  • Phone: 646-501-7890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number339010
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: