Provider Demographics
NPI:1427897651
Name:PATEL, ADARSH V (OD)
Entity type:Individual
Prefix:
First Name:ADARSH
Middle Name:V
Last Name:PATEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 DANIEL WEBSTER HWY # A201A
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-5730
Mailing Address - Country:US
Mailing Address - Phone:603-888-0853
Mailing Address - Fax:
Practice Address - Street 1:310 DANIEL WEBSTER HWY # A201A
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-5730
Practice Address - Country:US
Practice Address - Phone:603-888-0853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1207152W00000X
MA5732152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist