Provider Demographics
NPI:1538279120
Name:QUINN, ROBERT PATEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PATEL
Last Name:QUINN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:25 LAKE CONCORD RD NE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-3015
Mailing Address - Country:US
Mailing Address - Phone:704-782-6673
Mailing Address - Fax:704-782-6605
Practice Address - Street 1:25 LAKE CONCORD RD NE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-3015
Practice Address - Country:US
Practice Address - Phone:704-782-6673
Practice Address - Fax:704-782-6605
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC307209207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8969744Medicaid
BQ0548531OtherDEA
NC203769Medicare ID - Type Unspecified
BQ0548531OtherDEA