MEDICARE: RAMAN C PATEL M.D.

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
1	2084P0800X	Psychiatry Physician	146195	NY

General Provider Information

NPI Number	:	1255431797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMAN C PATEL M.D.

Provider Business Mailing Address
First Line	:	611 MILL RUN
Second Line	:
City	:	PARAMUS
State	:	NJ
Zip	:	07652-1754
Country	:	US
Telephone Number	:	201-251-9653
Fax Number	:

Provider Business Practice Location Address
First Line	:	1276 FULTON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-3402
Country	:	US
Telephone Number	:	718-901-8883
Fax Number	:	718-901-8863

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2006
Last Update Date	:	07/08/2007

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