Provider Demographics
NPI:1528020096
Name:PATEL, HEMANT K (MD)
Entity Type:Individual
Prefix:
First Name:HEMANT
Middle Name:K
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 DR W H BLAKE JR DR
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-2152
Mailing Address - Country:US
Mailing Address - Phone:256-381-1001
Mailing Address - Fax:256-381-3604
Practice Address - Street 1:101 DR W H BLAKE JR DR
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-2152
Practice Address - Country:US
Practice Address - Phone:256-381-1001
Practice Address - Fax:256-381-3604
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15262207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALE68321Medicare UPIN