Provider Demographics
NPI:1659408961
Name:PATEL, NARENDRAKUMAR ASHABHAI (MD)
Entity Type:Individual
Prefix:
First Name:NARENDRAKUMAR
Middle Name:ASHABHAI
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 1:6 E MEDICAL CT STE 2
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-4970
Mailing Address - Country:US
Mailing Address - Phone:828-659-2900
Mailing Address - Fax:828-652-5092
Practice Address - Street 1:6 E MEDICAL CT STE 2
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-4970
Practice Address - Country:US
Practice Address - Phone:828-659-2900
Practice Address - Fax:828-652-5092
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28071208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8965964Medicaid
F05507Medicare UPIN
NC8965964Medicaid