Provider Demographics
NPI:1558332551
Name:PATEL, UTPAL K (MD)
Entity Type:Individual
Prefix:
First Name:UTPAL
Middle Name:K
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1249 KILDAIRE FARM RD
Mailing Address - Street 2:PMB 371
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-5523
Mailing Address - Country:US
Mailing Address - Phone:910-561-9727
Mailing Address - Fax:866-950-0218
Practice Address - Street 1:812 CANDY PARK RD STE 6103
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:NC
Practice Address - Zip Code:28372-9121
Practice Address - Country:US
Practice Address - Phone:910-561-9727
Practice Address - Fax:866-950-0218
Is Sole Proprietor?:No
Enumeration Date:2006-01-28
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036115510207LP2900X
NC2005-01380207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00235330OtherRAILROAD MEDICARE
NC5901602Medicaid
NC140ETOtherBCBS
NC5901602Medicaid
NCP00235330OtherRAILROAD MEDICARE