MEDICARE: LALIT POPATLAL 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	207R00000X	Internal Medicine Physician	232725	NY
2	207R00000X	Internal Medicine Physician	MA78631	NJ
3	207R00000X	Internal Medicine Physician	A86251	CA

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	:	1770530065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LALIT POPATLAL PATEL MD

Provider Business Mailing Address
First Line	:	15 CHAFFEE AVE
Second Line	:
City	:	ALBERTSON
State	:	NY
Zip	:	11507-1807
Country	:	US
Telephone Number	:	516-477-0511
Fax Number	:	516-248-3895

Provider Business Practice Location Address
First Line	:	360 A 9TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-4008
Country	:	US
Telephone Number	:	718-499-6000
Fax Number	:	718-499-6004

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

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	01/03/2012

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Directions to “ LALIT POPATLAL PATEL MD” Practice Location

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