Provider Demographics
NPI:1427277821
Name:PATRAWALLA, AMEE SHIRISH (MD)
Entity type:Individual
Prefix:DR
First Name:AMEE
Middle Name:SHIRISH
Last Name:PATRAWALLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 BERGEN STREET, ROOM I-354
Mailing Address - Street 2:UMDNJ-NJ MEDICAL SCHOOL PULMONARY CRITICAL CARE
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103
Mailing Address - Country:US
Mailing Address - Phone:973-972-6111
Mailing Address - Fax:
Practice Address - Street 1:150 BERGEN STREET, ROOM I-354
Practice Address - Street 2:UMDNJ-NJ MEDICAL SCHOOL PULMONARY CRITICAL CARE
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103
Practice Address - Country:US
Practice Address - Phone:973-972-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231822207RP1001X
NJ25MA08432700207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
H89593Medicare UPIN
MAPA A35653Medicare ID - Type Unspecified