Individual provider · Type 1 NPI

Shivkumar Patel, MD

Student in an Organized Health Care Education/Training Program · Ellenville, NY

NPI number 1295672160 Active

Practice location

6 Healthy Way
Ellenville, NY 12428-5612

Call (845) 647-4500 Map

Fax (845) 647-7632

Mailing address

105 Marys Ave
Kingston, NY 12401-5829

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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.

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About NPI 1295672160

Shivkumar Patel, MD's National Provider Identifier is 1295672160, issued on Apr 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ellenville, NY. The record was last updated on Apr 30, 2026.