Healthcare Provider Details

I. General information

NPI: 1821470469
Provider Name (Legal Business Name): PALAK D PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2015
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SEYMOUR STREET HARTFORD HOSPITAL CARDIOLOGY DEPT
HARTFORD CT
06106-8000
US

IV. Provider business mailing address

80 SEYMOUR STREET HARTFORD HOSPITAL CARDIOLOGY DEPT
HARTFORD CT
06106-8000
US

V. Phone/Fax

Practice location:
  • Phone: 860-972-4398
  • Fax:
Mailing address:
  • Phone: 860-972-4398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD0107239
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: