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Individual

MUKTI J PATEL-PRINEAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
202 POMFRET ST, PUTNAM, CT 06260-1833
(860) 963-7917
(860) 963-0018
Mailing address
10 OVERLOOK RIDGE DR, APT 634, MALDEN, MA 02148-4711
(860) 961-7786

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
275034
MA
207Q00000X
Family Medicine Physician
35.121019
OH
207Q00000X
Family Medicine Physician
53152
CT
207Q00000X
Family Medicine Physician
61179131
WA
207Q00000X
Family Medicine Physician
U1618
TX
208M00000X
Hospitalist Physician
53152
CT

Other

Enumeration date
05/17/2010
Last updated
06/30/2025
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