Individual
BANSARI NAGESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8201 HEALTHCARE LOOP STE 305, CHARLOTTE, NC 28215-7072
(980) 302-3050
(980) 302-3055
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 302-3050
(980) 302-3055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07828
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-07828
NORHT CAROLINA MEDICAL BOARD
NC
Enumeration date
01/16/2018
Last updated
01/27/2022
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