Individual
DEEP PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1514 GLENWOOD AVE, RALEIGH, NC 27608-2368
(919) 829-0076
(919) 836-9094
Mailing address
1514 GLENWOOD AVE, RALEIGH, NC 27608-2368
(919) 829-0076
(919) 942-0038
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
548
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915612
—
NC
Enumeration date
11/02/2007
Last updated
03/17/2018
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