Provider Demographics
NPI:1154594646
Name:PATEL, VINITA (DO)
Entity type:Individual
Prefix:DR
First Name:VINITA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WOODLAND COURT
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576
Mailing Address - Country:US
Mailing Address - Phone:516-365-3701
Mailing Address - Fax:
Practice Address - Street 1:3184 GRAND CONCOURSE
Practice Address - Street 2:2A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-1007
Practice Address - Country:US
Practice Address - Phone:347-271-8903
Practice Address - Fax:347-271-8906
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY239644207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0H5835OtherHEALTHNET
NY238644NO2OtherHIP
NY03023723Medicaid
NY11303OtherMAGNACARE
NYP3947871OtherOXFORD
NY1154594646OtherEMBLEMHEALTH
NY10029282401OtherAMERICHOICE
NY2928242OtherUNITED HEALTH CARE
NY60054OtherAETNA
NY263374689OtherGREATWEST LIFE
NY4874623OtherCIGNA
NY263374689OtherMULTIPLAN
NY90106000079OtherFIDELIS CARE
NY833AA1OtherEMPIRE BLUE CROSS
NY263374689OtherGREATWEST LIFE