Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 000509 | CT |
Y | 222Z00000X | Podiatrist | 000509 | CT |
N | 213ES0103X | Foot & Ankle Surgery | 000509 | CT |
N | 213ES0131X | Foot Surgery | 000509 | CT |
NPI | 1053335083 |
---|---|
Provider Name | Sanjay Patel |
First Address | Milford, CT 06460-4625 |
Second Address | Milford, CT 06460-4625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 07/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000509J185 | CIGNA HEALTHCARE (01) | CT |
004099257 | (05) | CT |
030000509CT05 | BLUE CROSS BLUE SHIELD (01) | CT |
030000509CT06 | BLUE CROSS BLUE SHIELD (01) | CT |
2885050004 | CIGNA HEALTHCARE (01) | CT |
480035180 | RAILROAD MEDICARE (01) | CT |
NHS138 | OXFORD HEALTH PLAN (01) | CT |
T92564 | (02) | CT |