Individual
SANDIP SUBHASHBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3653 CAPE CENTER DRIVE, FAYETTEVILLE, NC 28304
(910) 426-3332
(910) 426-3340
Mailing address
PO BOX 41806, FAYETTEVILLE, NC 28309
(910) 426-3332
(910) 426-3340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9501633
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11198
BCBS
—
05
—
B911198
—
NC
Enumeration date
03/03/2006
Last updated
10/28/2011
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