Individual
CHANDRAKANT PRAKASH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3295 POPLAR AVE STE 105, MEMPHIS, TN 38111-4690
(901) 327-8188
(901) 327-8284
Mailing address
6430 CRUMPLER BLVD, OLIVE BRANCH, MS 38654-1946
(901) 826-1345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20403
MS
207Q00000X
Family Medicine Physician
Primary
59283
TN
Other
Enumeration date
03/05/2007
Last updated
02/25/2020
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