Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | L-251841 | MA |
Y | 111NI0900X | Internist | L-251841 | MA |
N | 207RC0000X | Internist - Cardiovascular Disease | 260830 | MA |
NPI | 1013279454 |
---|---|
Provider Name | Nilay K Patel |
First Address | Boston, MA 02114 |
Second Address | Boston, MA 02114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2012 |
Last Update Date | 22/02/2020 |