Provider Demographics
NPI:1306032388
Name:PATEL, SHIRLEY HARISH (MD)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:HARISH
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1850 W ARLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5704
Mailing Address - Country:US
Mailing Address - Phone:252-413-6740
Mailing Address - Fax:252-752-6600
Practice Address - Street 1:4796 OLD TAR RD
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-9752
Practice Address - Country:US
Practice Address - Phone:252-353-4111
Practice Address - Fax:252-353-1727
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2014-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2007-01572207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine