Provider Demographics
NPI:1174746168
Name:PATEL, HEJAL C (MD)
Entity type:Individual
Prefix:DR
First Name:HEJAL
Middle Name:C
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:802 N MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:OPP
Mailing Address - State:AL
Mailing Address - Zip Code:36467-1614
Mailing Address - Country:US
Mailing Address - Phone:334-493-8269
Mailing Address - Fax:334-493-8271
Practice Address - Street 1:802 N MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:OPP
Practice Address - State:AL
Practice Address - Zip Code:36467-1614
Practice Address - Country:US
Practice Address - Phone:334-493-8269
Practice Address - Fax:334-493-8271
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2011-09-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KYR05062085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100170Medicaid
FL000788702 (AAL)Medicaid
AL515-46239OtherBCBS OF AL
AL515-48253OtherBC BS AL (DOTHAN)
AL510I920008OtherMEDICARE PTAN (DOTHAN)
AL511-18118OtherBC BS OF AL (ANDALUSIA)
AL100172Medicaid
AL130012Medicaid
GA315016423AOtherGA MEDICAID
AL100170Medicaid