Provider Demographics
NPI:1982652038
Name:PATEL, HITESH BABUBHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:HITESH
Middle Name:BABUBHAI
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 1:1695 HIGHWAY 88 STE A
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3029
Mailing Address - Country:US
Mailing Address - Phone:732-202-7456
Mailing Address - Fax:732-202-7459
Practice Address - Street 1:1695 HIGHWAY 88 STE A
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3029
Practice Address - Country:US
Practice Address - Phone:732-202-7456
Practice Address - Fax:732-202-7459
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236025207R00000X
NJ25MA07919500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400002640Medicare PIN