Individual
PAYAL SHAH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1632 E ROOSEVELT BLVD, MONROE, NC 28112-4017
(704) 295-3000
Mailing address
331 CROWN POINT DR, SALISBURY, NC 28146-5851
(304) 610-0482
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2019-01503
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NC
Enumeration date
03/25/2015
Last updated
04/28/2021
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