Provider Demographics
NPI:1619089620
Name:PATEL, HIREN RAMESH (MD)
Entity Type:Individual
Prefix:
First Name:HIREN
Middle Name:RAMESH
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:72 W JIMMIE LEEDS RD
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-9406
Mailing Address - Country:US
Mailing Address - Phone:609-677-9729
Mailing Address - Fax:609-652-7153
Practice Address - Street 1:2399 HIGHWAY 34
Practice Address - Street 2:UNIT B
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-1500
Practice Address - Country:US
Practice Address - Phone:609-677-9729
Practice Address - Fax:609-652-6270
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA075655002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00042009OtherRAILROAD MEDICARE
NJ0002950Medicaid
NJP00847817OtherRAILROAD MEDICARE
NJP00793717OtherRAILROAD MEDICARE
NJP00042009OtherRAILROAD MEDICARE
NJP00847817OtherRAILROAD MEDICARE
NJP00793717OtherRAILROAD MEDICARE
NJ0002950Medicaid