Patel, Roda K

Patel, Roda K is an sole proprietor health care provider with primary practice located at 1925 Cornaga Ave , Far Rockaway NY 11691-3513. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Patel, Roda K can be contacted via phone (718) 327-5448.

Contact Information

Primary practice address
1925 Cornaga Ave Far Rockaway NY 11691-3513
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 123214 New York

Profile Details

NPI number 1962502112
LBN Legal business name Patel, Roda K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962502112 NPPES
New York MEDICAID 00231645

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