Provider Demographics
NPI:1215959622
Name:PATEL, HITESH K (MD)
Entity type:Individual
Prefix:DR
First Name:HITESH
Middle Name:K
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2021 TROWBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-9438
Mailing Address - Country:US
Mailing Address - Phone:215-860-0875
Mailing Address - Fax:215-504-1579
Practice Address - Street 1:228 PLAINFIELD AVE
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-3738
Practice Address - Country:US
Practice Address - Phone:732-985-5009
Practice Address - Fax:732-985-5155
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MAO6539000207W00000X
PAMD064657L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0010570Medicaid
NJ074456WYVMedicare PIN
NJ114094Medicare PIN
NJ5168550001Medicare NSC
NJG83751Medicare UPIN