Provider Demographics
NPI:1013020775
Name:MOORE, RUCHI PATEL (MD)
Entity Type:Individual
Prefix:DR
First Name:RUCHI
Middle Name:PATEL
Last Name:MOORE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:41 OAKLAND RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4820
Mailing Address - Country:US
Mailing Address - Phone:828-253-5381
Mailing Address - Fax:828-253-9087
Practice Address - Street 1:41 OAKLAND RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4820
Practice Address - Country:US
Practice Address - Phone:828-253-5381
Practice Address - Fax:828-253-9087
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200400718207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5904678Medicaid
NC143C8OtherBCBS
NC200400718OtherLICENSE
NC200400718OtherLICENSE
NC5904678Medicaid