Individual
ROSHNI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 SOUTH RD STE 120, FARMINGTON, CT 06032-2022
(860) 397-6179
(860) 321-7148
Mailing address
55 SOUTH RD STE 120, FARMINGTON, CT 06032-2022
(860) 397-6179
(860) 321-7148
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
042468
CT
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
042468
CT
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
042468
CT
208VP0014X
Interventional Pain Medicine Physician
Primary
042468
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001424689
—
CT
01
—
010042468CT02
BCBS, BCFP, MEDIBLUE
CT
01
—
042468
CONNECTICARE
CT
01
—
3212638
CIGNA
CT
01
—
3V1121
HEALTH NET
CT
01
—
422008
WELLCARE MEDICARE ONLY
CT
01
—
9932098
AETNA
CT
Enumeration date
03/28/2006
Last updated
12/23/2019
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