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Hiren
K
Patel
MD
Contract Details
Carraway Family Medicine
Facility name
Provider ID
P000001331
NPI
1568481661
Tax ID
630935084
Effective Date
8/1/1992
Last Updated
6/10/2016
Direct Contract
Yes
Term Date
1/1/2008
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
4360 Main Street
Pinson, AL 35126
United States
County
Jefferson
Phone
2056804836
(
Phone
)
Billing Details
Address
P.O. Box 11407
Drawer 385
Birmingham, AL 35246
Specialty Type
Family Practice
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Address