Provider Demographics
NPI:1588755011
Name:PATEL, DANIEL W (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:W
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:780 MAIN ST
Mailing Address - Street 2:STE 1
Mailing Address - City:GT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-2148
Mailing Address - Country:US
Mailing Address - Phone:413-528-2418
Mailing Address - Fax:413-528-2907
Practice Address - Street 1:780 MAIN ST
Practice Address - Street 2:STE 1
Practice Address - City:GT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230-2180
Practice Address - Country:US
Practice Address - Phone:413-528-2418
Practice Address - Fax:413-528-2907
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2014-10-03
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Provider Licenses
StateLicense IDTaxonomies
MA40371207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA040371OtherTUFTS
NY0113745OtherGROUP HEALTH,INCORPORATED
040371OtherCONNECTICARE
110221041OtherPALMETTO GBA - RAILROAD MEDICARE
MA15260OtherHEALTH NEW ENGLAND
MA0120207Medicaid
NY11928OtherMVP HEALTH PLAN,INC.
10034395OtherCAPITAL DISTRICT PHYSICIANS HEALTH PLAN
B74041OtherHARVARD PILGRIM HEALTH PLAN
MA0000020989OtherBOSTON MEDICAL CENTER HEALTH PLAN
MAPAG12003OtherBLUE CROSS BLUE SHIELD
0005603275OtherAETNA
MA0121207Medicaid
2819937OtherCIGNA
MA0000020989OtherBOSTON MEDICAL CENTER HEALTH PLAN
B74041Medicare UPIN
110221041OtherPALMETTO GBA - RAILROAD MEDICARE