Individual
SHREYAS V PATEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
765 CAMBRIDGE ST, BRIGHTON, MA 02135-2912
(617) 789-2696
(617) 789-5177
Mailing address
765 CAMBRIDGE ST, BRIGHTON, MA 02135-2912
(617) 789-2696
(617) 789-5177
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60640
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3053156
—
MA
Enumeration date
09/22/2005
Last updated
07/08/2007
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