Provider Demographics
NPI:1164711453
Name:PATEL, BHUMIKA (MD)
Entity type:Individual
Prefix:
First Name:BHUMIKA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:DEPT. OF MEDICINE HSC T16
Mailing Address - Street 2:STONY BROOK UNIVERSITY HOSPITAL
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8160
Mailing Address - Country:US
Mailing Address - Phone:631-444-4000
Mailing Address - Fax:631-444-2493
Practice Address - Street 1:1800 DR MARTIN LUTHER KING JR ST N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-4222
Practice Address - Country:US
Practice Address - Phone:813-873-1177
Practice Address - Fax:631-444-2493
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME1242862080P0201X, 2080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology