Sudha Patel MD PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

129033 Issued in NY

Legal business name

SUDHA PATEL MD PLLC

Practice address

1835 Bay Ridge Parkway
Brooklyn, NY 11204-5706

Phone

(718) 236-6025

Fax

(718) 236-6391

NPI assigned

Dec 4, 2007

Organization subpart

Yes

Parent organization

SUDHA PATEL MDAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sudha P. Patel, M.D.NPI 1205936424

Title

President

Phone

(718) 236-6025

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Sudha Patel M.D. Doing business as

Tax ID family

Sudha Patel MD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sudha Patel MD PLLC

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1851568091
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sudha P Patel, MD

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1205936424
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1689856403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045706",
            "telephone_number": "718-236-6025",
            "fax_number": "718-236-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 BAY RIDGE PARKWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045706",
            "telephone_number": "718-236-6025",
            "fax_number": "718-236-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDHA PATEL MD PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUDHA PATEL MD",
        "enumeration_date": "2007-12-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-236-6025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "129033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0008818",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "171260",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "6C0182",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "M4070P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "328641",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "392382",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00548861",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2042835",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sudha Patel M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Sudakova, MOT
• Michele F Sudano, LCSW
• Sudara PT PC
• Rahat Nawaz Suddle, MD
• Gayathri Sudha Hari, M.D.
• Sudha Patel MD PLLC
• Sudha R Shah MD PC
• Elisabeth Jean Sudiker
• Bruno Marius Suditu, PA
• Kenay Magdalene Sudler, M.S. CCC-SLP

• Multi-Specialty Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.