Healthcare Provider Details

I. General information

NPI: 1710648191
Provider Name (Legal Business Name): VRUNDA HARESH PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2022
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 RIDGEFIELD CT
ASHEVILLE NC
28806-2270
US

IV. Provider business mailing address

100 RIDGEFIELD CT
ASHEVILLE NC
28806-2270
US

V. Phone/Fax

Practice location:
  • Phone: 828-670-8403
  • Fax:
Mailing address:
  • Phone: 828-670-8403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: