Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 2008-01835 | NC |
NPI | 1013045525 |
---|---|
Provider Name | Nilesh Patel |
First Address | Charlotte, NC 28219-9305 |
Second Address | Charlotte, NC 28203-5812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 27/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I16940 | (02) |