Individual
DR. SHEPHALI NIMISH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1040 EDGEWATER CORPORATE PKWY SUITE 101, INDIAN LAND, SC 29707-7177
(803) 548-7007
(803) 802-2015
Mailing address
1040 EDGEWATER CORPORATE PKWY SUITE 101, INDIAN LAND, SC 29707-7177
(803) 548-7007
(803) 802-2015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA07853100
NJ
207Q00000X
Family Medicine Physician
Primary
31989
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061867
—
NJ
Enumeration date
04/19/2007
Last updated
08/13/2015
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