Provider Demographics
NPI:1992951925
Name:PATEL, NIRAV (DO)
Entity type:Individual
Prefix:DR
First Name:NIRAV
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:984 N BROADWAY
Mailing Address - Street 2:SUITE 501
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1318
Mailing Address - Country:US
Mailing Address - Phone:914-965-2606
Mailing Address - Fax:914-965-2880
Practice Address - Street 1:984 N BROADWAY
Practice Address - Street 2:SUITE 501
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1318
Practice Address - Country:US
Practice Address - Phone:914-965-2606
Practice Address - Fax:914-965-2880
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2451292086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery