Individual
KIRTI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 SOUTH ST STE G05, SOUTHBRIDGE, MA 01550-4051
(508) 765-5981
(508) 764-4637
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
(508) 909-7799
(508) 909-7750
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
208459
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110003671A
—
MA
Enumeration date
05/04/2006
Last updated
10/10/2018
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