Provider Demographics
NPI:1639773146
Name:PATEL, HIREN
Entity Type:Individual
Prefix:MR
First Name:HIREN
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 BOSTON RD # 16
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3013
Mailing Address - Country:US
Mailing Address - Phone:978-256-2577
Mailing Address - Fax:978-256-2577
Practice Address - Street 1:16 BOSTON RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3013
Practice Address - Country:US
Practice Address - Phone:978-256-2577
Practice Address - Fax:978-256-1889
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH24616183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist