Individual
DR. MANU HIRA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2711 X RAY DR, GASTONIA, NC 28054-7491
(704) 834-2420
(704) 834-2426
Mailing address
2240 REMOUNT RD, GASTONIA, NC 28054-4725
(704) 671-5311
(704) 671-5308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9501047
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8965789
—
NC
05
—
N01047
—
SC
Enumeration date
09/30/2005
Last updated
11/13/2007
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