MEDICARE: DR. NISHA N PATEL MD FACOG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	C51277	CA
2	207V00000X	Obstetrics & Gynecology Physician	25MA06860400	NJ
3	207V00000X	Obstetrics & Gynecology Physician	28072	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	65965	OTHER	NC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609859578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NISHA N PATEL MD FACOG

Provider Business Mailing Address
First Line	:	PO BOX 15268
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28813-0268
Country	:	US
Telephone Number	:	828-250-2833
Fax Number	:	828-250-2932

Provider Business Practice Location Address
First Line	:	472 RANKIN DR
Second Line	:
City	:	MARION
State	:	NC
Zip	:	28752-6568
Country	:	US
Telephone Number	:	828-652-1400
Fax Number	:	828-659-7829

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	02/10/2022

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