Provider Demographics
NPI:1346254661
Name:PATEL, HIRAL H (MD)
Entity Type:Individual
Prefix:
First Name:HIRAL
Middle Name:H
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 LAFAYETTE RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-2222
Mailing Address - Country:US
Mailing Address - Phone:603-926-0088
Mailing Address - Fax:603-926-2853
Practice Address - Street 1:1 PARKLAND DR
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-2746
Practice Address - Country:US
Practice Address - Phone:603-432-1500
Practice Address - Fax:603-421-2344
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12889208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH01Y008780NH01OtherANTHEM BCBS #
3673935OtherCIGNA
NH01Y008780NH05OtherANTHEM BC BS NH
MA2150859Medicaid
AA111629OtherHARVARD
NHP00630885OtherRAILROAD MEDICARE
NH30205560Medicaid
NH01Y008780NH01OtherANTHEM BCBS #
AA111629OtherHARVARD
3673935OtherCIGNA
NH01Y008780NH05OtherANTHEM BC BS NH
NH30205560Medicaid