Patel, Samir Pravinchandra
Patel, Samir Pravinchandra is an individual health care provider with primary practice located at 365 East St , Tewksbury MA 01876-1950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Patel, Samir Pravinchandra can be contacted via phone (781) 306-6165.Contact Information
Primary practice address
365 East St
Tewksbury MA 01876-1950
Phone: (781) 306-6165
Fax: (781) 306-6146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 76085 | Massachusetts |
Profile Details
| NPI number | 1457342420 |
|---|---|
| LBN Legal business name | Patel, Samir Pravinchandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Nov 6th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457342420 | NPPES |
| Massachusetts | Other | 83588 | UNITED BEH HEALTH |
| Massachusetts | Other | 076805 | UNITED BEH HEALTH |
| Massachusetts | MEDICAID | 3112608 | UNITED BEH HEALTH |
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