Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 2012-00542 | NC |
NPI | 1083858047 |
---|---|
Provider Name | Priyesh Patel |
First Address | Charlotte, NC 28219-9305 |
Second Address | Concord, NC 28025-2948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2009 |
Last Update Date | 07/01/2022 |