Healthcare Provider Details

I. General information

NPI: 1225042831
Provider Name (Legal Business Name): HIREN B PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 TUSCULUM BLVD
GREENEVILLE TN
37745-4279
US

IV. Provider business mailing address

PO BOX 4015
JOHNSON CITY TN
37602-4015
US

V. Phone/Fax

Practice location:
  • Phone: 423-783-6400
  • Fax:
Mailing address:
  • Phone: 423-915-1126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number37711
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number2026-01281
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD37711
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: