Provider Demographics
NPI:1588409650
Name:PATEL, ANANDKUMAR (MD)
Entity type:Individual
Prefix:
First Name:ANANDKUMAR
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 PASSAIC AVE APT 408
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-1169
Mailing Address - Country:US
Mailing Address - Phone:732-852-0039
Mailing Address - Fax:
Practice Address - Street 1:90 BERGEN STREET
Practice Address - Street 2:DEPARTMENT OF NEUROLOGY
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103
Practice Address - Country:US
Practice Address - Phone:732-852-0039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program