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Individual

DR. DHARMESH S. PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
391 SOUTHCREST CIR, STE. 200, SOUTHAVEN, MS 38671
(901) 271-1000
(901) 271-4187
Mailing address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18526
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05479825
MS
05
207078001
AR
05
3894936
TN
01
4146202
BCBS
TN
01
7537537
AETNA
TN
01
99646
BCBS
AR
01
P00372268
RAIL ROAD MEDICARE
MS
01
P00378336
RAIL ROAD MEDICARE
TN
Enumeration date
12/28/2005
Last updated
06/12/2025
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