Individual
DR. DIVYA JATINKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-2225
(252) 801-9998
(252) 210-3482
Mailing address
230 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-2225
(252) 801-9998
(252) 210-3482
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200401300
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2035293B
MEDICARE ID-TYPE UNSPECIFIED
NC
01
—
2035293C
MEDICARE ID-TYPE UNSPECIFIED
NC
05
—
89138R5
—
NC
Enumeration date
08/15/2006
Last updated
03/07/2015
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