Organization
CHIMAN I PATEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIMAN I PATEL MD (OWNER/PSYCHIATRIST)
(203) 243-0929
Entity
Organization
Contact information
Practice address
144 GOLDEN HILL ST, SUITE 202, BRIDGEPORT, CT 06604-4117
(203) 243-0929
(203) 331-8288
Mailing address
144 GOLDEN HILL ST, SUITE 202, BRIDGEPORT, CT 06604-4117
(203) 243-0929
(203) 331-8288
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001279026
—
CT
01
—
010227902CT02
BCBS
—
01
—
380971
MHN
CT
01
—
559945000
MAGALLAN
—
01
—
7901560
AETNA
—
Enumeration date
08/24/2006
Last updated
11/17/2009
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