Individual
UTPAL K PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
812 CANDY PARK RD STE 6103, PEMBROKE, NC 28372-9121
(910) 561-9727
(866) 950-0218
Mailing address
1249 KILDAIRE FARM RD, PMB 371, CARY, NC 27511-5523
(910) 561-9727
(866) 950-0218
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
036115510
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2005-01380
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140ET
BCBS
NC
05
—
5901602
—
NC
01
—
P00235330
RAILROAD MEDICARE
NC
Enumeration date
01/28/2006
Last updated
12/09/2021
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