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Individual

DR. SHAUN PRAKASH PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2001 VAIL AVE STE 200, CHARLOTTE, NC 28207-1222
(704) 323-2000
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2000

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2017-00090
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750644027
NC
01
2017-00090
MEDICAL LICENSE
NC
05
NC3026
SC
Enumeration date
06/20/2012
Last updated
12/06/2021
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