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General NPI Number Information
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NPI Number | 1194733329
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Entity Type | Individual
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Provider Name | ANAL C PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 01/16/2018
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Provider Practice Location Address
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Address Line | 85 SEYMOUR ST SUITE 200
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City | HARTFORD
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State | CT
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Zip | 06106-5501
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Country | US
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Telephone | 860-289-3375
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Fax | 860-560-2849
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Provider Business Mailing Address
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Address Line | 111 FOUNDERS PLZ SUITE 400
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City | EAST HARTFORD
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State | CT
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Zip | 06108-3212
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Country | US
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Telephone | 860-291-6554
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Fax | 860-528-0778
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 44656
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 246167
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License Number State | MA
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