Individual
MRS. SIDDHI KIRITKUMAR PATEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
16455 STATESVILLE RD, SUITE 310, HUNTERSVILLE, NC 28078-7135
(704) 892-8585
Mailing address
PO BOX 36351, CHARLOTTE, NC 28236-6351
(704) 377-5772
(704) 377-3389
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E1955
MEDCOST PROVIDER ID #
NC
Enumeration date
04/17/2006
Last updated
07/08/2007
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