Provider Demographics
NPI:1053502229
Name:PATEL, VANITA HITESH (MD)
Entity Type:Individual
Prefix:DR
First Name:VANITA
Middle Name:HITESH
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VANITA
Other - Middle Name:PRAVINKUMAR
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1631 ROUTE 88 W
Mailing Address - Street 2:SUITE A
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3048
Mailing Address - Country:US
Mailing Address - Phone:732-202-7458
Mailing Address - Fax:732-202-7459
Practice Address - Street 1:1631 ROUTE 88 W
Practice Address - Street 2:SUITE A
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3048
Practice Address - Country:US
Practice Address - Phone:732-202-7458
Practice Address - Fax:732-202-7459
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243283207V00000X
NJ25MA08279600207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology