Healthcare Provider Details

I. General information

NPI: 1770741373
Provider Name (Legal Business Name): HIREN ROHIT PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PAGE AVE APT 313
ASHEVILLE NC
28801-2386
US

IV. Provider business mailing address

PO BOX 2779
ASHEVILLE NC
28802-2779
US

V. Phone/Fax

Practice location:
  • Phone: 352-216-7618
  • Fax:
Mailing address:
  • Phone: 352-216-7618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2011-01587
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number15969
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number149143
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: