MEDICARE: SONAL BHAVESH PATEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN274392	MA
2	363LF0000X	Family Nurse Practitioner	RN274392	MA

General Provider Information

NPI Number	:	1184233066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONAL BHAVESH PATEL

Provider Business Mailing Address
First Line	:	20 WEDGEWOOD DR
Second Line	:
City	:	HOPKINTON
State	:	MA
Zip	:	01748-1180
Country	:	US
Telephone Number	:	781-552-1853
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 WEDGEWOOD DR
Second Line	:
City	:	HOPKINTON
State	:	MA
Zip	:	01748-1180
Country	:	US
Telephone Number	:	781-552-1853
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2020
Last Update Date	:	10/23/2025

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Directions to “ SONAL BHAVESH PATEL ” Practice Location

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