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General NPI Number Information
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NPI Number | 1750349965
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Entity Type | Individual
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Provider Name | MADANMOHAN R. PATEL M.D.,F.C.C.P.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 230 E RIDGEWOOD AVE
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City | PARAMUS
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State | NJ
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Zip | 07652-4142
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Country | US
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Telephone | 201-634-1506
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Fax | 201-215-9776
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Provider Business Mailing Address
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Address Line | 153 SPLIT ROCK RD
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City | PARAMUS
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State | NJ
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Zip | 07652-4400
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Country | US
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Telephone | 201-634-1506
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Fax | 201-215-9776
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MA069221
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 187712
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | MA069221
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 187712
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License Number State | NY
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