1841222437 NPI number — DELTA HILLS NEPHROLOGY ASSOCIATES

Table of content: DR. BABUBHAI M. PATEL M.D. (NPI 1831144948)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841222437 NPI number — DELTA HILLS NEPHROLOGY ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DELTA HILLS NEPHROLOGY ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841222437
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
609 TALLAHATCHIE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENWOOD
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
38930-2005
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
662-453-5208
Provider Business Mailing Address Fax Number:
662-453-4546

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
DELTA HILLS NEPHROLOGY ASSOCIATES
Provider Second Line Business Practice Location Address:
609 TALLAHATCHIE STREET
Provider Business Practice Location Address City Name:
GREENWOOD
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38930
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-453-5208
Provider Business Practice Location Address Fax Number:
662-453-7367
Provider Enumeration Date:
07/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WHITE
Authorized Official First Name:
ALLISON
Authorized Official Middle Name:
RANDALL
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
662-453-5208

Provider Taxonomy Codes

  • Taxonomy code: 207RN0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 09014642 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".




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