Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2015-00993 | NC |
N | 111NI0900X | Internist | 2015-00993 | NC |
Y | 207RR0500X | Rheumatology | 2015-00993 | NC |
NPI | 1043577646 |
---|---|
Provider Name | Dr. Amit Mahesh Patel |
First Address | Winston Salem, NC 27157-0001 |
Second Address | Charlotte, NC 28277 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2012 |
Last Update Date | 18/12/2020 |