Provider Demographics
NPI:1790841492
Name:PATEL, NEEMA SATISH (NP)
Entity Type:Individual
Prefix:
First Name:NEEMA
Middle Name:SATISH
Last Name:PATEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 KEISLER DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-7069
Mailing Address - Country:US
Mailing Address - Phone:919-781-9950
Mailing Address - Fax:919-783-9950
Practice Address - Street 1:400 KEISLER DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-7069
Practice Address - Country:US
Practice Address - Phone:919-781-9950
Practice Address - Fax:919-783-9950
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00421293Medicare PIN
NC2592587AMedicare PIN
Q48511Medicare UPIN