Provider Demographics
NPI:1346566858
Name:PATEL, VIRAL DINESH (MD)
Entity Type:Individual
Prefix:DR
First Name:VIRAL
Middle Name:DINESH
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13808 PROFESSIONAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-7948
Mailing Address - Country:US
Mailing Address - Phone:704-717-5549
Mailing Address - Fax:704-602-6563
Practice Address - Street 1:1340 MATTHEWS TOWNSHIP PKWY STE 301
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4681
Practice Address - Country:US
Practice Address - Phone:704-377-4009
Practice Address - Fax:704-844-2679
Is Sole Proprietor?:No
Enumeration Date:2010-04-09
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.120376207RG0100X
IL036132931208M00000X
390200000X
NC201802666207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
1346566858OtherNPI