Individual
DR. PAVAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1070 VINEHAVEN DR NE, CONCORD, NC 28025-2438
(973) 972-6056
Mailing address
1070 VINEHAVEN DR NE, CONCORD, NC 28025-2438
(704) 783-1840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09912000
NJ
207RG0100X
Gastroenterology Physician
Primary
2020-00631
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2012
Last updated
10/21/2020
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