Patel, Pratik Surendra
Patel, Pratik Surendra is an individual health care provider with primary practice located at 201 Lyons Ave # L-4 , Newark NJ 07112-2027. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Patel, Pratik Surendra can be contacted via phone (973) 926-4430.Contact Information
Primary practice address
201 Lyons Ave # L-4
Newark NJ 07112-2027
Phone: (973) 926-4430
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07973300 | New Jersey |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 25MA07973300 | New Jersey |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA07973300 | New Jersey |
Profile Details
| NPI number | 1952321077 |
|---|---|
| LBN Legal business name | Patel, Pratik Surendra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Nov 17th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952321077 | NPPES |
| New Jersey | MEDICAID | 0102148 |
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