Individual
FORAM PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7850 BRIER CREEK PKWY # 100, RALEIGH, NC 27617-8900
(919) 748-4878
Mailing address
4705 UNIVERSITY DR BLDG 700, DURHAM, NC 27707-3489
(919) 237-1337
(919) 237-1625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.009122
ID
363A00000X
Physician Assistant
Primary
085.009122
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085.009122
—
IL
Enumeration date
08/29/2022
Last updated
01/24/2024
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