Individual
DR. SAMIR PRAVINCHANDRA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
365 EAST ST, TEWKSBURY, MA 01876-1950
(781) 306-6165
(781) 306-6146
Mailing address
14 FELLSMERE AVE, WAKEFIELD, MA 01880-3681
(781) 246-2747
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
76085
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076805
TUFTS HEALTH PLAN
MA
05
—
3112608
—
MA
01
—
83588
UNITED BEH HEALTH
MA
Enumeration date
10/31/2005
Last updated
11/06/2024
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