Provider Demographics
NPI:1871534305
Name:PATEL, HITESH RAMESH (MD)
Entity type:Individual
Prefix:DR
First Name:HITESH
Middle Name:RAMESH
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1804 OAK TREE RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-2704
Mailing Address - Country:US
Mailing Address - Phone:732-744-0634
Mailing Address - Fax:732-744-0635
Practice Address - Street 1:1804 OAK TREE RD
Practice Address - Street 2:SUITE 4
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-2704
Practice Address - Country:US
Practice Address - Phone:732-744-0634
Practice Address - Fax:732-744-0635
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA69747207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8701809Medicaid
NJMA69747OtherNJ MEDICAL LICENSE
NJD07690100OtherCDS REGISTRATION
NJD07690100OtherCDS REGISTRATION
NJ8701809Medicaid
NJMA69747OtherNJ MEDICAL LICENSE