| Kamlesh P. Patel M.d., Pa | |
|
1301 Medical Dr Ste B Fayetteville NC 28304-4425 | |
| (910) 486-8080 | |
| (910) 486-8090 |
| Full Name | Kamlesh P. Patel M.d., Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1301 Medical Dr Ste B, Fayetteville, North Carolina |
| Authorized Official Name and Position | Hemangini K Patel (PHYSICIAN) |
| Authorized Official Contact | 9104868080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kamlesh P. Patel M.d., Pa Po Box 87511 Fayetteville NC 28304-7511 Ph: (910) 486-8080 | Kamlesh P. Patel M.d., Pa 1301 Medical Dr Ste B Fayetteville NC 28304-4425 Ph: (910) 486-8080 |
| NPI Number | 1942483706 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 05/02/2012 |
| Medicare PECOS PAC ID | 2163584228 |
|---|---|
| Medicare Enrollment ID | O20081224000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942483706 | NPI | - | NPPES |
| 5950521 | Medicaid | NC | |
| 65846 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9601029 (North Carolina) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 9601028 (North Carolina) | Secondary |
| Provider Name | Kamlesh Panubhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790785020 PECOS PAC ID: 5890857957 Enrollment ID: I20081224000088 |
| Provider Name | Hemangini K Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437315611 PECOS PAC ID: 6800962945 Enrollment ID: I20090115000579 |
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