Individual
TEJASH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
24 HOSPITAL AVENUE, DANBURY, CT 06810
(203) 739-6959
Mailing address
24 HOSPITAL AVENUE, DANBURY, CT 06810
(203) 739-6959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
045131
CT
208M00000X
Hospitalist Physician
045131
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11725710
CAQH NUMBER
CT
Enumeration date
05/01/2007
Last updated
03/29/2012
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