Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 2013-00295 | NC |
NPI | 1003077942 |
---|---|
Provider Name | Dr. Michelle Dilipkumar Patel |
First Address | Charlotte, NC 28260-2658 |
Second Address | Bermuda Run, NC 27006-7905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 26/03/2021 |