Provider Demographics
NPI:1629362991
Name:PATEL, ANJU KANTI (MD)
Entity Type:Individual
Prefix:DR
First Name:ANJU
Middle Name:KANTI
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 FRANCIS STREET
Mailing Address - Street 2:DIVISION OF OTOLARYNGOLOGY, ASB-2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5139
Mailing Address - Country:US
Mailing Address - Phone:617-525-3000
Mailing Address - Fax:
Practice Address - Street 1:45 FRANCIS STREET
Practice Address - Street 2:DIVISION OF OTOLARYNGOLOGY, ASB-2
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-525-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-04
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA249144207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology