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NPI Code Detail

MEDICARE: DR. PRAGNESHKUMAR PATEL MD

MEDICARE: DR. PRAGNESHKUMAR PATEL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician64966TN

General Provider Information

NPI Number : 1073075842
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRAGNESHKUMAR PATEL MD
Provider Business Mailing Address
First Line : 2904 CARISBROOKE DR
Second Line :
City : MT JULIET
State : TN
Zip : 37122-2440
Country : US
Telephone Number : 929-232-5471
Fax Number :
Provider Business Practice Location Address
First Line : 4500 PARSONS BLVD
Second Line :
City : FLUSHING
State : NY
Zip : 11355-2205
Country : US
Telephone Number : 718-670-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2019
Last Update Date : 03/24/2026

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