Individual
MR. SHAILESH V PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8613 MS HIGHWAY 12, ACKERMAN, MS 39735-8917
(662) 285-9460
(662) 285-9324
Mailing address
8613 MS HIGHWAY 12, SUITE #1, ACKERMAN, MS 39735-8917
(662) 456-5008
(662) 456-5417
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13740
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112963
—
MS
Enumeration date
02/13/2006
Last updated
01/26/2017
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