Individual
RAVIKUMAR K PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2669 KINARD ST, NEWBERRY, SC 29108-2911
(803) 276-7570
Mailing address
300 JOHN ST STE 4B, GREER, SC 29651-1463
(706) 503-5030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1488
SC
207R00000X
Internal Medicine Physician
Primary
DO2555
NV
207RA0401X
Addiction Medicine (Internal Medicine) Physician
2011-00286
NC
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
1488
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014889
—
SC
Enumeration date
05/16/2007
Last updated
10/25/2023
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