Patel, Samir Pravinchandra

Patel, Samir Pravinchandra is an individual health care provider with primary practice located at 365 East St , Tewksbury MA 01876-1950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Patel, Samir Pravinchandra can be contacted via phone (781) 306-6165.

Contact Information

Primary practice address
365 East St Tewksbury MA 01876-1950
Fax: (781) 306-6146
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 76085 Massachusetts

Profile Details

NPI number 1457342420
LBN Legal business name Patel, Samir Pravinchandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jul 14th, 2017 - about 7 years ago

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 1457342420 NPPES
Massachusetts Other 076805 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3112608 TUFTS HEALTH PLAN
Massachusetts Other 83588 TUFTS HEALTH PLAN

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