Individual
DR. NIMISH KANTILAL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 EDGEWATER CORPORATE PKWY SUITE 101, INDIAN LAND, SC 29707-7177
(803) 548-7007
Mailing address
1040 EDGEWATER CORP PKWY STE 101, INDIAN LAND, SC 29707-4514
(803) 548-7007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2008-01850
NC
207Q00000X
Family Medicine Physician
25MA08503500
NJ
207Q00000X
Family Medicine Physician
Primary
32108
SC
207Q00000X
Family Medicine Physician
4301091628
MI
Other
Enumeration date
07/10/2008
Last updated
01/21/2016
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