Individual
SHILPESH SHANTILAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 RIVER CROSSING DR, SUITE 200, FORT MILL, SC 29715-7900
(803) 835-6500
(803) 835-1990
Mailing address
PO BOX 1089, FORT MILL, SC 29716-1089
(803) 835-6500
(803) 835-1990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20083
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200838
—
SC
Enumeration date
05/26/2006
Last updated
05/26/2020
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