Organization
HOPE PSYCHIATRIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBHASH P PATEL MD (OWNER)
(704) 854-9595
Entity
Organization
Contact information
Practice address
438 E LONG AVE STE 1, GASTONIA, NC 28054-3500
(704) 854-9595
(704) 852-4488
Mailing address
5029 CHESTNUT KNOLL LN, CHARLOTTE, NC 28269
(704) 596-7188
(704) 596-7188
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
126740
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
399184
VALUE OPTIONS
—
05
—
5900720
—
NC
01
—
N01101
SC MEDICAID
SC
Enumeration date
07/10/2006
Last updated
12/03/2013
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