Provider Demographics
NPI:1750353678
Name:PATEL, YOGESH K (MD)
Entity type:Individual
Prefix:
First Name:YOGESH
Middle Name:K
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 1:2101 SHILOH CHURCH RD
Mailing Address - Street 2:SUITE 201 ARDSLEY INTERNAL MEDICINE REN SQ
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-7601
Mailing Address - Country:US
Mailing Address - Phone:704-403-8650
Mailing Address - Fax:704-403-8655
Practice Address - Street 1:2101 SHILOH CHURCH RD
Practice Address - Street 2:SUITE 201 ARDSLEY INTERNAL MEDICINE REN SQ
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-7601
Practice Address - Country:US
Practice Address - Phone:704-403-8650
Practice Address - Fax:704-403-8655
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC35179207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC232009OtherMEDICARE
NC4251957OtherAETNA
NC65847OtherBXBS
NC48699OtherMEDCOST
NC8965847Medicaid
NC9641OtherPARTNERS MEDICARE CHOICE
NCF45743Medicare UPIN
NC2176525CMedicare PIN