Individual
TARAK PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 350, COLUMBIA, SC 29203-6896
(803) 434-1663
(803) 434-7092
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
91067
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910670
—
SC
Enumeration date
03/30/2022
Last updated
08/09/2024
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