Provider Demographics
NPI:1114933009
Name:PATEL, BIRAV S (DC)
Entity Type:Individual
Prefix:DR
First Name:BIRAV
Middle Name:S
Last Name:PATEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5641 POPLAR TENT RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-7533
Mailing Address - Country:US
Mailing Address - Phone:704-782-3421
Mailing Address - Fax:704-782-3422
Practice Address - Street 1:5641 POPLAR TENT RD
Practice Address - Street 2:SUITE 202
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-7533
Practice Address - Country:US
Practice Address - Phone:704-782-3421
Practice Address - Fax:704-782-3422
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2927111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89085KNMedicaid
NC2336996Medicare ID - Type Unspecified
NC89085KNMedicaid