MEDICARE: DR. ANIT THAKOR PATEL MD

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	207KI0005X	Clinical & Laboratory Immunology (Allergy & Immunology) Physician	220315	MA
2	207YX0602X	Otolaryngic Allergy Physician	220315	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00151836	OTHER	MA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2404867	OTHER	MA	UNITEDHEALTH
2	043585201	OTHER	MA	HEALTHCAREVALUEMANAGEMENT
3	469310	OTHER	MA	TUFTS HEALTH
5	4253833	OTHER	MA	AETNA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	AA14752	OTHER	MA	HARVARDPILGRIM HEALTH
8	4206478	OTHER	MA	CIGNA
9	J27434	OTHER	MA	BLUECROSSBLUESHIELD

General Provider Information

NPI Number	:	1982682860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANIT THAKOR PATEL MD

Provider Business Mailing Address
First Line	:	30 ALDRIN ROAD
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360
Country	:	US
Telephone Number	:	508-746-8977
Fax Number	:	508-746-3364

Provider Business Practice Location Address
First Line	:	30 ALDRIN ROAD
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360
Country	:	US
Telephone Number	:	508-746-8977
Fax Number	:	508-746-3364

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

Provider Enumeration Date	:	01/02/2006
Last Update Date	:	07/11/2012

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Directions to “ DR. ANIT THAKOR PATEL MD” Practice Location

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