Individual
TUSHAR RAMAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
132 GATEWAY BLVD, MOORESVILLE, NC 28117-5540
(704) 663-7226
(704) 662-3875
Mailing address
132 GATEWAY BLVD, STE C, MOORESVILLE, NC 28117-5540
(704) 663-7226
(704) 662-3875
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200400072
NC
207W00000X
Ophthalmology Physician
2004-00072
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89136CG
—
NC
Enumeration date
07/27/2006
Last updated
04/06/2021
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