Provider Demographics
NPI:1679676555
Name:PATEL, CHANDRAKANT DASBHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:CHANDRAKANT
Middle Name:DASBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:55 HULL STREET
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1453
Mailing Address - Country:US
Mailing Address - Phone:978-927-5525
Mailing Address - Fax:978-927-5525
Practice Address - Street 1:85 HERRICK ST
Practice Address - Street 2:BEVERLY HOSPITAL NORTH EAST HEALTH SYSTEM
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1790
Practice Address - Country:US
Practice Address - Phone:978-922-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA36299208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0005234OtherNEIGHBORHOOD HEALTH PLAN
MA2044021Medicaid
MAV39504OtherNETWORK HEALTH
71427160001OtherCIGNA
MA8766OtherHARVARD PILGRIM HEALTH CARE
MAD03098OtherBLUE CROSS BLUE SHIELD
TX004373130OtherAETNA
MA26778OtherFALLON COMMUNITY HEALTH PLAN
MA713883OtherTUFTS HEALTH PLAN
71427160001OtherCIGNA
MA2044021Medicaid