Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2011-00610 | NC |
Y | 111NI0900X | Internist | 2011-00610 | NC |
N | 207R00000X | Internist | 25MA08797800 | NJ |
N | 111NI0900X | Internist | 25MA08797800 | NJ |
N | 207RP1001X | Pulmonary Disease | 2011-00610 | NC |
NPI | 1023205218 |
---|---|
Provider Name | Ajaykumar Narandas Patel |
First Address | Gastonia, NC 28054-2140 |
Second Address | Gastonia, NC 28054-2140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2007 |
Last Update Date | 15/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0252255 | (05) | NJ |
1023205218 | (05) | NC |
NC1727 | (05) | SC |
NC6815E | (02) | NC |