Healthcare Provider Details

I. General information

NPI: 1609801901
Provider Name (Legal Business Name): RITESH S PATEL DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 SCHOOL ST
LOWELL MA
01851-1367
US

IV. Provider business mailing address

410 SCHOOL ST
LOWELL MA
01851-1367
US

V. Phone/Fax

Practice location:
  • Phone: 978-458-6620
  • Fax: 978-458-6671
Mailing address:
  • Phone: 978-458-6620
  • Fax: 978-458-6671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2936
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: