MUKTI PATEL (NPI# 1083932990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083932990 |
| Entity Type | Individual |
| Full Name | MUKTI PATEL |
| Credential | MD |
| Practice Address |
202 Pomfret St Putnam CT 06260-1833 |
| Mailing Address |
10 Overlook Ridge Dr Apt 634 Malden MA 02148-4711 |
| Practice Telephone | 8609637917 |
| Practice Fax Number | 8609630018 |
| Mailing Telephone | 8609617786 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2014-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 53152 | CT | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 35.121019 | OH | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 53152 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336670678 | Mukti Patel | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 City Drive, City Tower Ste 400, Orange, CA 92868-3217 | 2017-03-27 |
| 1356801021 | Mukti Patel | Student in an Organized Health Care Education/Training Program | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2019-03-20 |
| 1730464322 | Mukti Patel | Pharmacist | 12240 N May Ave, Oklahoma City, OK 73120-6803 | 2011-10-14 |
| 1164492864 | Mukti B Patel | Physician Assistant | 5051 Se 110th St, Belleview, FL 34420-3115 | 2006-01-25 |
| Street Address |
202 POMFRET ST |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710957519 | Joe Moreno | Dental Hygienist | 202 Pomfret St, Putnam, CT 06260-1833 | 2006-01-24 |
| 1295290245 | Stephanie Lynn | Dental Hygienist | 202 Pomfret St, Putnam, CT 06260-1833 | 2019-02-04 |
| 1629552211 | Terry Ann Holybee | Nurse Practitioner | 202 Pomfret St, Putnam, CT 06260-1833 | 2018-09-19 |
| 1891208039 | Willa M Thompson | Nurse Practitioner | 202 Pomfret St, Putnam, CT 06260-1833 | 2017-11-09 |
| 1609394584 | Cristine Donaruma | Registered Nurse | 202 Pomfret St, Putnam, CT 06260 | 2017-08-31 |
| 1124566021 | Shilpa Kapoor | Dentist | 202 Pomfret St, Putnam, CT 06260-1833 | 2017-02-10 |
| 1730636408 | Carina Holmgren | Nurse Practitioner | 202 Pomfret St, Putnam, CT 06260-1833 | 2016-09-09 |
| 1609240787 | Emma E Miller | Counselor | 202 Pomfret St, Putnam, CT 06260 | 2015-11-30 |
| 1093190241 | Brittany Davis | Dental Hygienist | 202 Pomfret St, Putnam, CT 06260-1833 | 2015-07-29 |
| 1730583477 | Ashley Lewis | Dental Hygienist | 202 Pomfret St, Putnam, CT 06260-1833 | 2014-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1649896390 | Bethany Barrette | Behavior Technician | 682 Providence Pike Suite E, Putnam, CT 06260 | 2020-06-18 |
| 1902450448 | Jillian Bellman | Registered Nurse | 391 Pomfret Street, Putnam, CT 06260 | 2019-08-01 |
| 1285297390 | Jourhana Colon | Behavior Technician | 62 Providence Pike Ste E, Putnam, CT 06260 | 2019-04-16 |
| 1457839417 | Amplisound, Inc. | Hearing Instrument Specialist | 19 Quinebaug Avenue, Putnam, CT 06260 | 2018-08-01 |
| 1184095960 | Lori Bergeron | Counselor | 391 Pomret Street, Putnam, CT 06260 | 2015-10-19 |
| 1558619957 | Merinessa Macayaon Quintilla | Physical Therapist | 10 Thurber Road, Genesis - Matulaitis Nursing Home, Putnam, CT 06260 | 2012-08-16 |
| 1235496936 | Mohsin Haseeb | Internal Medicine | Day Kimball Hospital, 320 Pomfret Street, Putnam, CT 06260 | 2012-04-18 |
| 1588932529 | Lifehouse Community Care, LLC | Home Health | 554 Liberty Highway Unit 2, Putnam, CT 06260 | 2011-12-05 |
| 1942433032 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 57 Providence Pike, Putnam, CT 06260 | 2009-08-24 |
| Find all providers in zip 06260 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104978063 | New England Family Medical and Walk-in Center, LLC | Family Medicine | 52 Church St, Putnam, CT 06260-1872 | 2007-01-18 |
| 1477638963 | Sundaramurthy Balachandran | Family Medicine | 145 Pomfret Street, Riverview Medical Associates, Putnam, CT 06260 | 2006-10-25 |
| 1235159278 | Charles L Wreschner | Family Medicine | 235 Pomfret St, Putnam, CT 06260-1835 | 2006-07-20 |
| 1003860891 | Timothy E Cooper | Family Medicine | 330 Pomfret Street, Putnam, CT 06260 | 2006-05-19 |
| 1699745604 | Joseph John Creme | Family Medicine | 7 Kennedy Dr, Putnam, CT 06260-1939 | 2006-01-23 |
| 1841283439 | Raja Fattaleh | Family Medicine | 353 Pomfret St, Putnam, CT 06260-1835 | 2005-08-29 |
| 1902899859 | Ayaz T Madraswalla | Family Medicine | 391 Pomfret St, Putnam, CT 06260-1852 | 2005-08-25 |
| 1588656854 | Nancy Austin | Family Medicine | 330 Pomfret St, Putnam, CT 06260-1854 | 2005-08-22 |
| 1710989520 | Emily Ferguson | Family Medicine | 41a Grove St, Putnam, CT 06260-2107 | 2005-08-11 |
| 1154789840 | Youlan Tang | Family Medicine | 320 Pomfret St, Putnam, CT 06260-1836 | 2016-02-09 |
| Find all providers in PUTNAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.