1982682860 NPI number — DR. ANIT THAKOR PATEL MD

Table of content: DR. VINCENT TO DC (NPI 1467292946)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982682860 NPI number — DR. ANIT THAKOR PATEL MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PATEL
Provider First Name:
ANIT
Provider Middle Name:
THAKOR
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1982682860
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/11/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
30 ALDRIN ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLYMOUTH
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02360
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-746-8977
Provider Business Mailing Address Fax Number:
508-746-3364

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30 ALDRIN ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLYMOUTH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02360
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-746-8977
Provider Business Practice Location Address Fax Number:
508-746-3364
Provider Enumeration Date:
01/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207KI0005X , with the licence number:  220315 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207YX0602X , with the licence number: 220315 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2404867 . This is a "UNITEDHEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 043585201 . This is a "HEALTHCAREVALUEMANAGEMENT" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 469310 . This is a "TUFTS HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: P00151836 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 4253833 . This is a "AETNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 2062691 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: AA14752 . This is a "HARVARDPILGRIM HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 4206478 . This is a "CIGNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: J27434 . This is a "BLUECROSSBLUESHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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