Individual
KUSH SHASHIKANT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1953
(704) 871-9818
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 871-9818
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2013-01740
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497912018
—
NC
Enumeration date
05/21/2008
Last updated
08/15/2023
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