Patel, Pratik Surendra

Patel, Pratik Surendra is an individual health care provider with primary practice located at 201 Lyons Ave # L-4 , Newark NJ 07112-2027. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Patel, Pratik Surendra can be contacted via phone (973) 926-4430.

Contact Information

Primary practice address
201 Lyons Ave # L-4 Newark NJ 07112-2027
Phone: (973) 926-4430
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07973300 New Jersey
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 25MA07973300 New Jersey
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25MA07973300 New Jersey

Profile Details

NPI number 1952321077
LBN Legal business name Patel, Pratik Surendra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Nov 17th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952321077 NPPES
New Jersey MEDICAID 0102148

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