Provider Demographics
NPI:1174528954
Name:PATIL, SAVITA (MD)
Entity type:Individual
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First Name:SAVITA
Middle Name:
Last Name:PATIL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:267 BOSTON RD
Mailing Address - Street 2:SUITE 20
Mailing Address - City:NORTH BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-2310
Mailing Address - Country:US
Mailing Address - Phone:978-663-6666
Mailing Address - Fax:978-663-6716
Practice Address - Street 1:267 BOSTON RD
Practice Address - Street 2:SUITE 20
Practice Address - City:NORTH BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862-2310
Practice Address - Country:US
Practice Address - Phone:978-663-6666
Practice Address - Fax:978-663-6716
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2013-01-30
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Provider Licenses
StateLicense IDTaxonomies
MA222881207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110039466AMedicaid
MAJ28206OtherBLUE CROSS BLUE SHIELD
MA2085038Medicaid
MA110039466AMedicaid
MA2085038Medicaid