Provider Demographics
NPI:1154583243
Name:PATEL, SANJEEV B (MD)
Entity type:Individual
Prefix:DR
First Name:SANJEEV
Middle Name:B
Last Name:PATEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:640 S. STATE STREET
Mailing Address - Street 2:MAIL CODE 3055
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3530
Mailing Address - Country:US
Mailing Address - Phone:302-480-1688
Mailing Address - Fax:302-480-9807
Practice Address - Street 1:200 BANNING ST
Practice Address - Street 2:SUITE 340
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3485
Practice Address - Country:US
Practice Address - Phone:302-734-1414
Practice Address - Fax:302-734-2121
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2019-07-29
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0009026207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE160145ZEE2Medicare PIN