Provider Demographics
NPI:1568550820
Name:PATEL, BALUBHAI NARANBHAI (MD)
Entity Type:Individual
Prefix:MR
First Name:BALUBHAI
Middle Name:NARANBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 LAKE PINE DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511
Mailing Address - Country:US
Mailing Address - Phone:919-233-3435
Mailing Address - Fax:919-859-2424
Practice Address - Street 1:1831 LAKE PINE DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511
Practice Address - Country:US
Practice Address - Phone:919-233-3435
Practice Address - Fax:919-859-2424
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33555207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2141509Medicare ID - Type Unspecified
NC2141509DMedicare PIN
B98061Medicare UPIN