Healthcare Provider Details

I. General information

NPI: 1194703090
Provider Name (Legal Business Name): VIHAS PATEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 08/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS ST BRIGHAM AND WOMENS HOSPITAL DEPT OF SURGERY
BOSTON MA
02115-6110
US

IV. Provider business mailing address

PO BOX 414126 DWPO DBA DEPT OF SURGERY
BOSTON MA
02241-4126
US

V. Phone/Fax

Practice location:
  • Phone: 617-525-9327
  • Fax:
Mailing address:
  • Phone: 617-713-2255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number226422
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: