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Individual

DR. SHIV SHASHIKANT PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
730 HARTNESS RD, STATESVILLE, NC 28677-3425
(704) 924-7808
(704) 761-6986
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2014-01746
NC
2085R0202X
Diagnostic Radiology Physician
MD445371
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2014-01746
NC
2085R0204X
Vascular & Interventional Radiology Physician
MD-45164
IA

Other

Enumeration date
06/21/2007
Last updated
09/19/2023
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