Basic Information
| Provider Information | |||||||||
| NPI: | 1346254661 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | HIRAL | ||||||||
| MiddleName: | H | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 380 LAFAYETTE RD | ||||||||
| Address2: | |||||||||
| City: | HAMPTON | ||||||||
| State: | NH | ||||||||
| PostalCode: | 038422222 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6039260088 | ||||||||
| FaxNumber: | 6039262853 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 PARKLAND DR | ||||||||
| Address2: | |||||||||
| City: | DERRY | ||||||||
| State: | NH | ||||||||
| PostalCode: | 030382746 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6034321500 | ||||||||
| FaxNumber: | 6034212344 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/29/2006 | ||||||||
| LastUpdateDate: | 12/06/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 12889 | NH | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 12889 | NH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 01Y008780NH01 | 01 | NH | ANTHEM BCBS # | OTHER | 3673935 | 01 | CIGNA | OTHER | 01Y008780NH05 | 01 | NH | ANTHEM BC BS NH | OTHER | 2150859 | 05 | MA | MEDICAID | AA111629 | 01 | HARVARD | OTHER | P00630885 | 01 | NH | RAILROAD MEDICARE | OTHER | 30205560 | 05 | NH | MEDICAID |