Provider Demographics
NPI:1871565770
Name:PATEL, NISHA (OD)
Entity type:Individual
Prefix:DR
First Name:NISHA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ORCHARD VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-6606
Mailing Address - Country:US
Mailing Address - Phone:603-421-0022
Mailing Address - Fax:603-421-0259
Practice Address - Street 1:3 ORCHARD VIEW DR
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-6606
Practice Address - Country:US
Practice Address - Phone:603-421-0022
Practice Address - Fax:603-421-0259
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH 0753152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH020530670OtherFIRST HEALTH
NH020530670OtherMVP
NH09Y005190NH01OtherBC/BS NH
NH2495955OtherUNITED HEALTHCARE
NH9379293OtherPHCS
NH020530670OtherTRICARE
NH020530670OtherMARTINS POINT
NH30353616Medicaid
NH3728354OtherAETNA
NHAA26378OtherHARVARD PILGRIM
NH5232391OtherCIGNA
NH9379293OtherPHCS