Individual
DR. SHASHIKANT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3514 VILLAGE DR, FAYETTEVILLE, NC 28304-4554
(910) 426-0091
(910) 426-0093
Mailing address
3514 VILLAGE DR, FAYETTEVILLE, NC 28304-4554
(910) 426-0091
(910) 426-0093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9900980
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891208P
—
NC
Enumeration date
05/23/2005
Last updated
09/08/2025
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