Provider Demographics
NPI:1477041648
Name:PATEL, DHRUSTI (MD)
Entity Type:Individual
Prefix:
First Name:DHRUSTI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DHRUSTI
Other - Middle Name:AVINASH
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:800 WASHINGTON ST # 600B
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1552
Mailing Address - Country:US
Mailing Address - Phone:617-636-5400
Mailing Address - Fax:617-636-1375
Practice Address - Street 1:800 WASHINGTON ST # 600B
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:617-636-5400
Practice Address - Fax:617-636-1375
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA288755207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine