Individual
MITAL M PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
809 WANDERING WAY DR, WAXHAW, NC 28173-7016
(240) 401-5540
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
200600800
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904390
—
NC
05
—
N0080H
—
SC
01
—
NCA219A
MEDICARE PIN, INDIVIDUAL FOR CMC-NORTHEAST
NC
Enumeration date
07/12/2006
Last updated
10/21/2024
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