Provider Demographics
NPI:1083146450
Name:PATEL, VIRAJ MAYUR (MD)
Entity Type:Individual
Prefix:DR
First Name:VIRAJ
Middle Name:MAYUR
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10010 FALLS OF NEUSE RD STE 12
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-8495
Mailing Address - Country:US
Mailing Address - Phone:919-766-8989
Mailing Address - Fax:
Practice Address - Street 1:10010 FALLS OF NEUSE RD STE 12
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-8495
Practice Address - Country:US
Practice Address - Phone:919-766-8989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207Y00000X207Y00000X
NC2022-01293207YX0602X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy