Individual
TARAK TUSHAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 SUMMIT CROSSING PL STE 108A, GASTONIA, NC 28054-2189
(704) 865-2229
(704) 865-2811
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2024-02636
NC
207V00000X
Obstetrics & Gynecology Physician
93061
SC
Other
Enumeration date
05/22/2020
Last updated
09/17/2024
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