Provider Demographics
NPI:1194182915
Name:PATEL, MAHESH K (PT)
Entity Type:Individual
Prefix:
First Name:MAHESH
Middle Name:K
Last Name:PATEL
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:218 FOUST ST STE C
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-5476
Mailing Address - Country:US
Mailing Address - Phone:336-625-2333
Mailing Address - Fax:336-625-5511
Practice Address - Street 1:701 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:RAMSEUR
Practice Address - State:NC
Practice Address - Zip Code:27316
Practice Address - Country:US
Practice Address - Phone:336-824-8855
Practice Address - Fax:336-824-8955
Is Sole Proprietor?:No
Enumeration Date:2016-01-25
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCP15900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1194182915Medicaid
NC19KDPOtherBCBS OF NC