Healthcare Provider Details

I. General information

NPI: 1568996544
Provider Name (Legal Business Name): HINAL PATEL DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2017
Last Update Date: 08/11/2020
Certification Date: 08/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 OLD RUDNICK LN
DOVER DE
19901-4912
US

IV. Provider business mailing address

1712 WINDSWEPT CT
DOVER DE
19901-5854
US

V. Phone/Fax

Practice location:
  • Phone: 302-674-9255
  • Fax:
Mailing address:
  • Phone: 302-750-0202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE1-0010263
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: