Provider Demographics
NPI:1316966914
Name:PATEL, NIRMALA F (MD)
Entity type:Individual
Prefix:DR
First Name:NIRMALA
Middle Name:F
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:110 PRESIDENT ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-2825
Mailing Address - Country:US
Mailing Address - Phone:718-855-2289
Mailing Address - Fax:718-522-4639
Practice Address - Street 1:110 PRESIDENT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-2825
Practice Address - Country:US
Practice Address - Phone:718-855-2289
Practice Address - Fax:718-522-4639
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY132392207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine