Provider Demographics
NPI:1407895907
Name:PATEL, AMI SANDIP (MD)
Entity Type:Individual
Prefix:DR
First Name:AMI
Middle Name:SANDIP
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4000 SHIPYARD BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-6192
Mailing Address - Country:US
Mailing Address - Phone:910-313-6954
Mailing Address - Fax:910-313-6957
Practice Address - Street 1:4000 SHIPYARD BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6192
Practice Address - Country:US
Practice Address - Phone:910-313-6954
Practice Address - Fax:910-313-6957
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2008-06-26
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Provider Licenses
StateLicense IDTaxonomies
NC200101112207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCH45562Medicare UPIN