Healthcare Provider Details

I. General information

NPI: 1366785800
Provider Name (Legal Business Name): KALPESH PATEL M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 09/03/2023
Certification Date: 09/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 ROBBINS ST WATERBURY HOSPITAL
WATERBURY CT
06708
US

IV. Provider business mailing address

8 PEQUABUCK LN
FARMINGTON CT
06032-3609
US

V. Phone/Fax

Practice location:
  • Phone: 203-573-6000
  • Fax:
Mailing address:
  • Phone: 551-580-3301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number51994
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number51994
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: