Provider Demographics
NPI:1811900442
Name:PATEL, VASANT R (MD)
Entity type:Individual
Prefix:DR
First Name:VASANT
Middle Name:R
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:21 MAIN ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-2286
Mailing Address - Country:US
Mailing Address - Phone:978-664-4600
Mailing Address - Fax:978-664-2715
Practice Address - Street 1:21 MAIN ST
Practice Address - Street 2:SUITE 3C
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-2286
Practice Address - Country:US
Practice Address - Phone:978-664-4600
Practice Address - Fax:978-664-2715
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2011-10-11
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Provider Licenses
StateLicense IDTaxonomies
MA156535207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3198898Medicaid
J21478OtherBCBS
MA69410OtherHPHC
MA739557OtherTUFTS
J21478OtherBCBS
MA739557OtherTUFTS