Provider Demographics
NPI:1225424252
Name:PATEL, TAPAN DILIPKUMAR (MD)
Entity Type:Individual
Prefix:
First Name:TAPAN
Middle Name:DILIPKUMAR
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:31 BROADWAY FL 2
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-2363
Mailing Address - Country:US
Mailing Address - Phone:203-234-1324
Mailing Address - Fax:203-239-3047
Practice Address - Street 1:31 BROADWAY FL 2
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-2363
Practice Address - Country:US
Practice Address - Phone:203-234-1324
Practice Address - Fax:203-239-3047
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2021-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT68709207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT68709OtherSTATE OF CT