MEDICARE: MAYUR VINOD 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
1	207V00000X	Obstetrics & Gynecology Physician	25MA07534600	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649320359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYUR VINOD PATEL MD

Provider Business Mailing Address
First Line	:	565 HIGHWAY 35
Second Line	:	SUITE 7
City	:	RED BANK
State	:	NJ
Zip	:	07701-5047
Country	:	US
Telephone Number	:	732-530-1058
Fax Number	:	732-530-1419

Provider Business Practice Location Address
First Line	:	565 HIGHWAY 35
Second Line	:	SUITE 7
City	:	RED BANK
State	:	NJ
Zip	:	07701-5047
Country	:	US
Telephone Number	:	732-530-1058
Fax Number	:	732-530-1419

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

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	04/19/2016

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Directions to “ MAYUR VINOD PATEL MD” Practice Location

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