Provider Demographics
NPI:1720188816
Name:PATEL, DEPESH K (MD)
Entity Type:Individual
Prefix:DR
First Name:DEPESH
Middle Name:K
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:103 OXFORD CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-9761
Mailing Address - Country:US
Mailing Address - Phone:919-419-7410
Mailing Address - Fax:
Practice Address - Street 1:CAMPUS HEALTH SERVICES
Practice Address - Street 2:CB# 7470
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7470
Practice Address - Country:US
Practice Address - Phone:919-966-6560
Practice Address - Fax:919-966-0108
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005-000350207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCI-28350Medicare UPIN