Patel, Mital

Patel, Mital is an individual health care provider with primary practice located at 385 W Main St , Avon CT 06001-4357. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Patel, Mital can be contacted via phone (860) 777-1280.

Contact Information

Primary practice address
385 W Main St Avon CT 06001-4357
Phone: (860) 777-1280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5921 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5921 Connecticut

Profile Details

NPI number 1386945996
LBN Legal business name Patel, Mital
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2010
Last updated Feb 23rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386945996 NPPES
Texas MEDICAID 323462701

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