Provider Demographics
NPI:1720145246
Name:PATEL, SHAILESH RASIKLAL (MD)
Entity type:Individual
Prefix:DR
First Name:SHAILESH
Middle Name:RASIKLAL
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:711 TROY SCHENECTADY RD STE 203
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2461
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:2125 RIVER RD STE 203
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-1135
Practice Address - Country:US
Practice Address - Phone:518-831-8530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY173857207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY122405OtherGHI/HMO
NY5862250OtherAETNA
NY201284OtherSENIOR WHOLE HEALTH
NY01413038Medicaid
NY10001573OtherCDPHP
NY000429035005OtherBSNENY
NY080110000043OtherFIDELIS
NY27R261OtherEMPIRE BC
NY3001964OtherMVP HEALTHCARE
NY080110000043OtherFIDELIS
NYE32508Medicare UPIN