Provider Demographics
NPI:1629071220
Name:PATEL, SUNIT H (MD)
Entity Type:Individual
Prefix:
First Name:SUNIT
Middle Name:H
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:PO BOX 160
Mailing Address - Street 2:PATIENT FINANCIAL SERVICES
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561
Mailing Address - Country:US
Mailing Address - Phone:603-444-7070
Mailing Address - Fax:603-575-6288
Practice Address - Street 1:580 ST. JOHNSBURY RD.
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561
Practice Address - Country:US
Practice Address - Phone:603-444-7070
Practice Address - Fax:603-575-6288
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-27
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD10781208000000X
NH15808208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
27992OtherNEIGHBORHOOD HEALTH PIN#
2992129OtherAETNA PIN#
RI9022589Medicaid
P2738962OtherOXFORD PIN#
RI22589-4OtherBLUECROSS/BLUESHIELD PIN#
2V1567OtherHEALTH NET PIN#
CT010010781RI01OtherANTHEM BC/BS PIN#
CT03119717Medicaid
12-02791OtherUNITED HEALTH CARE PIN#
P2738962OtherOXFORD PIN#
12-02791OtherUNITED HEALTH CARE PIN#