Provider Demographics
NPI:1477585677
Name:PATEL, SUBHASH PRALAD (MD)
Entity Type:Individual
Prefix:DR
First Name:SUBHASH
Middle Name:PRALAD
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5029 CHESTNUT KNOLL LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-8242
Mailing Address - Country:US
Mailing Address - Phone:704-854-9595
Mailing Address - Fax:704-852-4488
Practice Address - Street 1:438 E LONG AVE STE 1
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-3500
Practice Address - Country:US
Practice Address - Phone:704-854-9595
Practice Address - Fax:704-852-4488
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2013-12-03
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Provider Licenses
StateLicense IDTaxonomies
NC97011002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry