Provider Demographics
NPI:1982682860
Name:PATEL, ANIT THAKOR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANIT
Middle Name:THAKOR
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:30 ALDRIN ROAD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360
Mailing Address - Country:US
Mailing Address - Phone:508-746-8977
Mailing Address - Fax:508-746-3364
Practice Address - Street 1:30 ALDRIN ROAD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360
Practice Address - Country:US
Practice Address - Phone:508-746-8977
Practice Address - Fax:508-746-3364
Is Sole Proprietor?:No
Enumeration Date:2006-01-02
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA220315207KI0005X, 207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
No207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2404867OtherUNITEDHEALTH
MA043585201OtherHEALTHCAREVALUEMANAGEMENT
MA469310OtherTUFTS HEALTH
MAP00151836OtherRAILROAD MEDICARE
MA4253833OtherAETNA
MA2062691Medicaid
MAAA14752OtherHARVARDPILGRIM HEALTH
MA4206478OtherCIGNA
MAJ27434OtherBLUECROSSBLUESHIELD
MAP00151836OtherRAILROAD MEDICARE
MAI10320Medicare UPIN