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NPI Code Detail

MEDICARE: DR. DHARNI PATEL MD

MEDICARE: DR. DHARNI PATEL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician1017468MA

General Provider Information

NPI Number : 1508327040
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DHARNI PATEL MD
Provider Business Mailing Address
First Line : 330 BROOKLINE AVENUE
Second Line : WEST SPAN 201
City : BOSTON
State : MA
Zip : 02215
Country : US
Telephone Number : 617-754-4677
Fax Number : 617-632-0215
Provider Business Practice Location Address
First Line : 330 BROOKLINE AVE
Second Line : WEST SPAN 201
City : BOSTON
State : MA
Zip : 02215-5491
Country : US
Telephone Number : 617-754-4677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2019
Last Update Date : 12/11/2023

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