Provider Demographics
NPI:1538116991
Name:PATEL, SACHIN B (MD)
Entity Type:Individual
Prefix:
First Name:SACHIN
Middle Name:B
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:275 VARNUM AVE
Mailing Address - Street 2:SUITE # 108
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01854-2141
Mailing Address - Country:US
Mailing Address - Phone:978-710-4242
Mailing Address - Fax:978-710-4202
Practice Address - Street 1:275 VARNUM AVENUE
Practice Address - Street 2:SUITE # 108
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-2117
Practice Address - Country:US
Practice Address - Phone:978-710-4242
Practice Address - Fax:978-710-4202
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2022-06-07
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Provider Licenses
StateLicense IDTaxonomies
MA228152207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA39871OtherMEDICARE
MAJ40434OtherBLUE CROSS BLUE SHIELD
MA80-0392364OtherUNICARE
MAP00440617OtherRAIL ROAD MEDICARE
MA465583OtherTUFTS/ TUFTS MEDICARE PREFERRED
MA7667786OtherAETNA
MA800392364OtherUNITED
MA96037302OtherNETWORK HEALTH
MA110082668AMedicaid
MA117524OtherFALLON
MAAA67427OtherHARVARD PILGRIM HEALTH CARE
MA1023466OtherCIGNA
MA80-0392364OtherBEECH STREET
MA154117Medicare UPIN