Healthcare Provider Details

I. General information

NPI: 1558027375
Provider Name (Legal Business Name): HIRAL PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2021
Last Update Date: 10/05/2024
Certification Date: 10/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7615 SETTLERS CT
MENTOR OH
44060-7177
US

IV. Provider business mailing address

7615 SETTLERS CT
MENTOR OH
44060-7177
US

V. Phone/Fax

Practice location:
  • Phone: 440-231-3217
  • Fax:
Mailing address:
  • Phone: 440-231-3217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: