Organization
KAMLESH P. PATEL M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEMANGINI K PATEL M.D. (PHYSICIAN)
(910) 486-8080
Entity
Organization
Contact information
Practice address
1301 MEDICAL DR STE B, FAYETTEVILLE, NC 28304-4425
(910) 486-8080
(910) 486-8090
Mailing address
PO BOX 87511, FAYETTEVILLE, NC 28304-7511
(910) 486-8080
(910) 486-8090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9601029
NC
2084N0400X
Neurology Physician
9601028
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950521
—
NC
01
—
65846
BCBS
NC
Enumeration date
12/14/2007
Last updated
05/02/2012
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