Most Relevant Information
Provider Data
| NPI Number: | 1003641267 |
| Provider Name: | VIKASKUMAR JITENDRAKUMAR PATEL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/05/2024 |
| Last Updated: | 09/24/2024 |
Provider Practice Location
1 BROOKDALE PLAZA
BROOKLYN
NY
11212
Practice Location Phone/Fax
| Phone: | 3472009667 |
| Fax: |
Provider Mailing Location
325 E 93RD ST APT 2R
NEW YORK
NY
101285531
Provider Mailing Phone/Fax
| Phone: | 3472009667 |
| Fax: |