Individual
DR. KANU PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
92 MONTVALE AVE, SUITE 2200, STONEHAM, MA 02180-3647
(781) 279-2030
(781) 279-2078
Mailing address
92 MONTVALE AVE, SUITE 2200, STONEHAM, MA 02180-3647
(781) 279-2030
(781) 279-2078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55972
MA
207R00000X
Internal Medicine Physician
7381
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-04199
UNITED
MA
01
—
055972
TUFTS
MA
01
—
110092930
RAILROAD MEDICARE/UNITED
MA
05
—
3017575
—
MA
01
—
64613
HARVARD PILGRIM
MA
01
—
J05889
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/09/2006
Last updated
07/08/2007
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