Individual
KINNARESH SURESHBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E W T HARRIS BLVD, BLDG 5000 SUITE #5101, CHARLOTTE, NC 28262-3485
(704) 863-5847
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2010-00117
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2010-00117
NC
207RP1001X
Pulmonary Disease Physician
Primary
2010-00117
NC
Other
Enumeration date
07/18/2007
Last updated
07/15/2024
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