Provider Demographics
NPI:1588721658
Name:PATEL, SUNIL H (MD)
Entity type:Individual
Prefix:DR
First Name:SUNIL
Middle Name:H
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 1:53 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-1732
Mailing Address - Country:US
Mailing Address - Phone:732-767-2820
Mailing Address - Fax:732-767-2821
Practice Address - Street 1:4434 AMBOY RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-3845
Practice Address - Country:US
Practice Address - Phone:718-351-8700
Practice Address - Fax:732-767-2821
Is Sole Proprietor?:No
Enumeration Date:2007-01-01
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY210203207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01825290Medicaid
NY37N161Medicare ID - Type Unspecified
NYWEP281Medicare PIN