DR. SAMIR PRAVINCHANDRA PATEL


Address: 365 East St, Tewksbury, MA 01876-1950
Phone: 7813066165

DR. SAMIR PRAVINCHANDRA PATEL (NPI# 1457342420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457342420
Entity Type Individual
Full Name DR. SAMIR PRAVINCHANDRA PATEL
Credential M.D.
Practice Address 365 East St
Tewksbury
MA 01876-1950
Mailing Address 14 Fellsmere Ave
Wakefield
MA 01880-3681
Practice Telephone 7813066165
Practice Fax Number 7813066146
Mailing Telephone 7812462747
Enumeration Date 2005-10-31
Last Update Date 2017-07-14
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0805X Psychiatry & Neurology
Specialization: Geriatric Psychiatry
76085 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA TUFTS HEALTH PLAN 076805 01
MA UNITED BEH HEALTH 83588 01
MA 3112608 05

Other Providers SAMIR PATEL

NPI Name Taxonomy Address Enumeration
1649630492 Samir Dilip Patel Dentist 342 Patricia Ln Ste 103, Fort Mill, SC 29708-6608 2016-03-07
1215350574 Samir M Patel Pharmacist 3405 White Horse Rd Ste F, Greenville, SC 29611-5947 2014-01-22
1396075958 Samir B Patel Family Medicine 11 Ellerdale Rd, Fallsington, PA 19054-1139 2010-01-05
1174758163 Samir K Patel Anesthesiology 251 E Huron Street, F5-704, Chicago, IL 60611 2009-05-20
1992939532 Samir H. Patel Counselor 1712 Highway 121 Byp N Ste I, Murray, KY 42071 2009-05-11
1396988911 Samir Patel Physical Therapist 378 Colonia Blvd, Colonia, NJ 07067-2921 2009-04-13
1316102312 Samir P Patel Dentist 205 N 2nd St, Thayer, MO 65791-1263 2008-07-20
1891903779 Samir Rashmikant Patel Internal Medicine 6001 London Dr, Austin, TX 78745-3444 2007-05-21
1841334273 Samir Patel Optometrist 5501 W Plainfield Rd, Countryside, IL 60525-3591 2007-02-18
1215001789 Samir P Patel Dentist 332 Belleville Ave, Bloomfield, NJ 07003-3652 2006-11-17

Office Location

Street Address 365 EAST ST
City TEWKSBURY
State MA
Zip Code 01876-1950

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306455662 Joe Biaty Counselor 365 East St, Tewksbury, MA 01876-1950 2020-07-23
1811514052 Alexa-rae Fabiano Registered Nurse 365 East St, Tewksbury, MA 01876-1950 2020-07-04
1316564131 Michelle Charney Mcintosh Clinical Nurse Specialist 365 East St, Tewksbury, MA 01876-1950 2020-06-27
1114498227 Sherin Aygun Counselor 365 East St, Tewksbury, MA 01876-1950 2018-12-16
1205310810 Junie Joseph Social Worker 365 East St, Tewksbury, MA 01876-1950 2018-09-19
1316420466 Nancy Simon Fennessy Social Worker 365 East St, Tewksbury, MA 01876-1998 2018-09-13
1861975229 Cassandra Eliane Sampas Social Worker 365 East St, Tewksbury, MA 01876-1998 2018-09-12
1447733050 Beth Mary O'connell Social Worker 365 East St, Tewksbury, MA 01876-1950 2018-09-10
1376024646 Karin Orr Social Worker 365 East St, Tewksbury, MA 01876-1950 2018-08-24
1245710995 Karyl J Daley Social Worker 365 East St, Tewksbury, MA 01876-1950 2018-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114224672 Make It Easy Medical Devices Durable Medical Equipment & Medical Supplies 410 Woburn Street, Tewksbury, Tewksbury, MA 01876 2011-02-18
1538329883 Donna M Schneider Mechanotherapist 1 Dundee Park, Suites 1 & 2, Andover, MA 01876 2008-06-11
1417139700 David Anthony Tortorella Internal Medicine 170 Main St Units G4-g8, Tewksbury, MA 01876 2007-11-29
1801086434 Yvonne Marie Canuel Long Term Care Hospital 265 East Street, Tewksbury, MA 01876 2007-07-30
1851511661 Sandra Lee Proulx Licensed Practical Nurse 10 Arnold Rd, Tewksbury, MA 01876 2007-04-26
1710004320 Department of Mental Health Community Based Residential Treatment Facility, Mental Illness Tewksbury State Hosp Special Bldg - Merrimack Ctr Birtp, 365 East St, Tewksbury, MA 01876 2007-03-26
1316002884 Robert A Karr Psychiatry & Neurology North East Area Office, Tewksbury, MA 01876 2006-12-26
1659448769 Barbara P Goldsher Social Worker 40 Chivas Circle, Tewksbury, MA 01876 2006-11-30
1457423154 Boutselis Family Dental Care PC Dentist 381r Main Street, Tewksbury, MA 01876 2006-11-15
1477623189 Commonwealth of Massachusetts Office for Pharmacy Services Pharmacy 369 East St, Tewksbury, MA 01876 2006-11-09
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Taxonomy Information

Taxonomy Code 2084P0805X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Geriatric Psychiatry

Taxonomy Definition

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629384995 Aaron Koenig Psychiatry & Neurology 178 Oakland St, Wellesley, MA 02481-5323 2010-08-25
1649306077 Mark I. Frankel Psychiatry & Neurology 148 Linden St Ste 109, Wellesley, MA 02482-7916 2007-02-27
1790850410 Sorgi Associates, PC Psychiatry & Neurology 142 North Rd Ste F105, Sudbury, MA 01776-1142 2006-11-21
1316958093 Moak Geriatric Psychiatry Psychiatry & Neurology 5206 Union St Bldg 500, Westborough, MA 01581-5418 2006-08-10
1285670471 Merrimack Psychiatric Associates, PC Psychiatry & Neurology Merrimack Valley Hospital, Abu, 140 Lincoln Ave, Haverhill, MA 01830 2006-06-22
1346281961 Bruce Kaster Psychiatry & Neurology 60 Kendrick St, Ste 204, Needham, MA 02494-2726 2006-06-08
1831149244 John Stuart Looper Psychiatry & Neurology 122 Ward St, Chestnut Hill, MA 02467-1029 2006-05-10
1619939287 Katharine Poole Wolf Psychiatry & Neurology 521 Mt Auburn St, Ste 109, Watertown, MA 02472 2006-04-06
1437137346 Robert B Portney Psychiatry & Neurology 6 Hearthstone Pl, Andover, MA 01810-5421 2006-01-03
1558363564 Ping Cui Psychiatry & Neurology 288 Groveland St, Suite C2, Haverhill, MA 01830-6674 2005-08-10
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Competitor

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City TEWKSBURY
Zip Code 01876

Improve Information

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Dataset Information

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.

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