DR. PRANAV HEMANT PATEL (NPI# 1104059823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104059823 |
| Entity Type | Individual |
| Full Name | DR. PRANAV HEMANT PATEL |
| Credential | MD |
| Practice Address |
79 Middleville Road Northport NY 11768 |
| Practice Telephone | 6312614400 |
| Practice Fax Number | 6312666056 |
| Mailing Telephone | 6312614400 |
| Mailing Fax Number | 6312666056 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2010-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MT196069 | PA | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MT196069 | PA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940589 | Pranav S Patel | Pharmacist | 6 Saxton Dr, Hackettstown, NJ 07840-1740 | 2020-10-19 |
| 1861908444 | Pranav Vinod Patel | Dentist | 1112 S Washington St Ste 210, Naperville, IL 60540-7964 | 2017-12-19 |
| 1376972208 | Pranav Patel | Pharmacist | 18 Alexandra Way, Clinton, NJ 08809-2624 | 2013-11-01 |
| 1841372356 | Pranav D. Patel | Internal Medicine | 545 Sunset Ln, Culpeper, VA 22701-3914 | 2006-10-20 |
| 1952496432 | Pranav K Patel | Chiropractor | 180 N Barrington Rd, Streamwood, IL 60107-1966 | 2006-10-03 |
| 1356333660 | Pranav Patel | Pediatrics | 4722 N 24th St, Suite 150, Phoenix, AZ 85016-4800 | 2005-08-22 |
| 1114565785 | Pranav K Patel | Pharmacist | 2000 State Road 60 E, Lake Wales, FL 33898-5182 | 2019-12-14 |
| 1811484165 | Pranav Patel | Student in an Organized Health Care Education/Training Program | 713 E Anderson St, Weatherford, TX 76086-5705 | 2018-04-21 |
| 1093177594 | Pranav Patel | Student in an Organized Health Care Education/Training Program | 4940 Eastern Ave, Randy Barker Medical Group 301 Building, Baltimore, MD 21224-2735 | 2016-03-23 |
| 1861873804 | Pranav Upendra Patel | Family Medicine | 8420 Aspi Blvd Ste 1, Moses Lake, WA 98837-3601 | 2015-06-16 |
| Street Address |
79 MIDDLEVILLE ROAD |
| City | NORTHPORT |
| State | NY |
| Zip Code | 11768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619936671 | Bharat R Shah | Urology | 79 Middleville Road, Northport, NY 11768-2290 | 2006-03-20 |
| 1881941375 | Heidi Lary Kar | Psychologist | 79 Middleville Road, Va Medical Center, Psychology Service, #116b, Northport, NY 11768 | 2012-08-14 |
| 1841569514 | Jolienne Adria Walters-harvey | Nurse Practitioner | 79 Middleville Road, Department of Veterans Affairs, Northport, NY 11768 | 2011-12-23 |
| 1396060802 | Jamsheed Rasheed Memon | Student in an Organized Health Care Education/Training Program | 79 Middleville Road, Dept of Veterans Affairs, Northport, NY 11768 | 2010-03-29 |
| 1962654657 | Tracy Anne French | Psychologist | 79 Middleville Road, Northport Vamc Psychology 116b, Northport, NY 11768 | 2008-10-14 |
| 1063676773 | Enrique Pastoriza-munoz | Internal Medicine | 79 Middleville Road, Va Medical Center - 111r, Northport, NY 11768 | 2008-07-11 |
| 1780802686 | James Conrad Fleischmann | Counselor | 79 Middleville Road, Northport, NY 11768 | 2007-04-23 |
| 1245364975 | Jeffrey Stuart Gold | Psychiatry & Neurology | 79 Middleville Road, Northport, NY 11768 | 2007-03-15 |
| 1265522783 | Robert Mendez | Counselor | 79 Middleville Road, Department of Veterans Affairs Medical Center, Northport, NY 11768-2290 | 2006-10-13 |
| 1881783785 | Nandita Wadhwa | Radiology | 79 Middleville Road, Veterans Administration Medical Center, Northport, NY 11768 | 2006-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
| 1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
| 1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
| 1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
| 1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
| 1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
| 1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
| 1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
| 1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
| 1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617242 | Michael G Norton | Student in an Organized Health Care Education/Training Program | 79 Middleville Rd # 160, Northport, NY 11768-2200 | 2020-04-15 |
| 1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
| 1982068714 | Samantha Seitter | Student in an Organized Health Care Education/Training Program | 117 Scudder Pl, Northport, NY 11768-3027 | 2016-04-07 |
| 1346604345 | Pragnesh Patel | Student in an Organized Health Care Education/Training Program | 79 Middleville Rd # 112a, Building 7, Room 106c, Northport, NY 11768-2200 | 2016-04-06 |
| 1093185027 | Jaclyn Gartner | Student in an Organized Health Care Education/Training Program | 11 Lisa Dr, Northport, NY 11768-2863 | 2015-10-02 |
| 1811332745 | Kristen Minor | Student in an Organized Health Care Education/Training Program | 3702 Holly Dr, Northport, AL 35473-3607 | 2013-05-06 |
| 1689293904 | Setareh Leila Evans | Student in an Organized Health Care Education/Training Program | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-04-16 |
| 1265051601 | Karen Lee | Student in an Organized Health Care Education/Training Program | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-04-15 |
| 1184185183 | Tejas Bharat Patel | Student in an Organized Health Care Education/Training Program | 79 Middleville Rd, Northport, NY 11768-2200 | 2019-03-31 |
| 1679033823 | Sean Thomas Cowles | Student in an Organized Health Care Education/Training Program | 79 Middleville Rd, Northport, NY 11768-2200 | 2019-03-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.