Provider Demographics
NPI:1265408843
Name:PATEL, AMAN B (MD)
Entity type:Individual
Prefix:DR
First Name:AMAN
Middle Name:B
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15 PARKMAN ST
Mailing Address - Street 2:WAC-745
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3117
Mailing Address - Country:US
Mailing Address - Phone:617-726-3303
Mailing Address - Fax:617-726-7501
Practice Address - Street 1:15 PARKMAN ST
Practice Address - Street 2:WAC-745
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:617-726-3303
Practice Address - Fax:617-726-7501
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2014-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY220272174400000X, 207T00000X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No174400000XOther Service ProvidersSpecialist
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02152243Medicaid
NY02152243Medicaid
MAG93561Medicare UPIN
NYG93561Medicare UPIN