Individual
RAJ KIRIT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 KIMEL PARK DR, WINSTON SALEM, NC 27103-6984
(336) 765-6181
Mailing address
145 KIMEL PARK DR, WINSTON SALEM, NC 27103-6984
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2015-01952
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2013
Last updated
03/17/2018
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