Provider Demographics
NPI:1285702829
Name:PATEL, DINESH R (MD)
Entity type:Individual
Prefix:
First Name:DINESH
Middle Name:R
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:707 SO ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-2698
Mailing Address - Country:US
Mailing Address - Phone:973-761-6111
Mailing Address - Fax:973-761-4990
Practice Address - Street 1:835 CLINTON AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105
Practice Address - Country:US
Practice Address - Phone:973-399-4000
Practice Address - Fax:973-399-1710
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2025-02-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA43348207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3934306Medicaid
NJ3934306Medicaid
D19294Medicare UPIN