Provider Demographics
NPI:1407914716
Name:PATEL, SWETAL RAJENDRAPRASAD (MD)
Entity Type:Individual
Prefix:
First Name:SWETAL
Middle Name:RAJENDRAPRASAD
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 1:1 NASSAU ST
Mailing Address - Street 2:UNIT 305
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1542
Mailing Address - Country:US
Mailing Address - Phone:319-621-4345
Mailing Address - Fax:
Practice Address - Street 1:1 NASSAU ST
Practice Address - Street 2:UNIT 305
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1542
Practice Address - Country:US
Practice Address - Phone:319-621-4345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA231268207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine