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NPI Code Detail

MEDICARE: SHASHI PATEL MD

MEDICARE: SHASHI 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
1207RP1001XPulmonary Disease Physician122596NY

General Provider Information

NPI Number : 1306868161
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHASHI PATEL MD
Provider Business Mailing Address
First Line : 1000 ZECKENDORF BLVD
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-2133
Country : US
Telephone Number : 516-542-6880
Fax Number : 516-542-5556
Provider Business Practice Location Address
First Line : 2915 FAR ROCKAWAY BLVD
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-1941
Country : US
Telephone Number : 718-337-7000
Fax Number : 718-327-8897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/08/2007

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