Patel, Shobha R

Patel, Shobha R is an individual health care provider with primary practice located at 325 Meeting House Ln Building #2, Southampton NY 11968-5087. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Patel, Shobha R can be contacted via phone (631) 283-4048.

Contact Information

Primary practice address
325 Meeting House Ln Building #2 Southampton NY 11968-5087
Phone: (631) 283-4048
Fax: (631) 283-5396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 203693 New York

Profile Details

NPI number 1225052897
LBN Legal business name Patel, Shobha R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jun 30th, 2011 - about 15 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 1225052897 NPPES
New York MEDICAID 01837663
New York Other 2592199
New York Other 200309210
New York Other 2539648
New York Other 161AD1

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