Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 6947 | SC |
Y | 213EG0000X | General Practice | 6947 | SC |
NPI | 1003116401 |
---|---|
Provider Name | Dr. Sejal Chandrakant Patel |
First Address | Charlotte, NC 28277-2980 |
Second Address | Charlotte, NC 28277-2857 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2010 |
Last Update Date | 23/02/2016 |