Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2013-01530 | NC |
Y | 111NI0900X | Internist | 2013-01530 | NC |
N | 207RG0100X | Gastroenterologist | MD-46717 | IA |
NPI | 1013048016 |
---|---|
Provider Name | Dr. Vinay Patel |
First Address | Charlotte, NC 28202 |
Second Address | Concord, NC 28025-2438 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 05/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000624697 | ANTHEM # WITH COOP HEALTH (01) | KY |
201054960 | (05) | IN |