Provider Demographics
NPI:1255693529
Name:PATEL, SHEETAL (DO)
Entity Type:Individual
Prefix:
First Name:SHEETAL
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6250 REGIONAL PLZ STE 1010
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5223
Mailing Address - Country:US
Mailing Address - Phone:325-428-5500
Mailing Address - Fax:325-428-5519
Practice Address - Street 1:2460 CURTIS ELLIS DR STE 100
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2237
Practice Address - Country:US
Practice Address - Phone:252-962-2328
Practice Address - Fax:252-962-3186
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA#OT014681207R00000X
TXS2456207RI0011X
NC2023-00117207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine