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General NPI Number Information
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NPI Number | 1588868749
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Entity Type | Individual
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Provider Name | RUSHITA H PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 1835 BAY RIDGE PKWY
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City | BROOKLYN
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State | NY
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Zip | 11204-5706
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Country | US
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Telephone | 718-236-6025
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Fax | 718-236-6391
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Provider Business Mailing Address
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Address Line | 1506 FIR CT
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City | SOMERSET
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State | NJ
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Zip | 08873-1873
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Country | US
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Telephone | 201-774-1007
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Fax | 718-236-6391
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA08048500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 242719
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License Number State | NY
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