| | Physician Last Name: | Patel |
| | Physician First Name: | Pravin |
| | Physician Middle Name: | Kumar |
| | Address: | 904 #35 Ivy Road
Syracuse, New York 13210 |
| | License Number: | 219787 |
| | License Type: | MD |
| | Year of Birth: |
1957
|
| | Effective Date: | 08/21/2002 |
| | Action Description for DOH Webpage: | License revocation |
| | Misconduct Description for DOH Webpage: | The Hearing Committee sustained the charges finding the physician guilty of having his medical license application denied by the Iowa State Board of Medical Examiners for false statements on his application for licensure; filing false reports; practicing fraudulently; engaging in conduct which evidences moral unfitness and violating New York State Public Health Law Section 2805-k by failing to include prior residencies on a registration form for new house officers. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
|
