Basic Information
| Provider Information | |||||||||
| NPI: | 1629071220 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | SUNIT | ||||||||
| MiddleName: | H. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 160 | ||||||||
| Address2: | PATIENT FINANCIAL SERVICES | ||||||||
| City: | LITTLETON | ||||||||
| State: | NH | ||||||||
| PostalCode: | 03561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6032597627 | ||||||||
| FaxNumber: | 6032597561 | ||||||||
| Practice Location | |||||||||
| Address1: | 580 ST. JOHNSBURY RD. | ||||||||
| Address2: | |||||||||
| City: | LITTLETON | ||||||||
| State: | NH | ||||||||
| PostalCode: | 03561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6034447070 | ||||||||
| FaxNumber: | 6034442769 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/27/2005 | ||||||||
| LastUpdateDate: | 09/25/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | MD10781 | RI | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 15808 | NH | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 03119717 | 05 | CT | MEDICAID | 2992129 | 01 | AETNA PIN# | OTHER | 2V1567 | 01 | HEALTH NET PIN# | OTHER | P2738962 | 01 | OXFORD PIN# | OTHER | 22589-4 | 01 | RI | BLUECROSS/BLUESHIELD PIN# | OTHER | 010010781RI01 | 01 | CT | ANTHEM BC/BS PIN# | OTHER | 9022589 | 05 | RI | MEDICAID | 27992 | 01 | NEIGHBORHOOD HEALTH PIN# | OTHER | 12-02791 | 01 | UNITED HEALTH CARE PIN# | OTHER |