Healthcare Provider Details

I. General information

NPI: 1114188901
Provider Name (Legal Business Name): SONAL PATOLE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 01/06/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR ROOM 1107G WEST WING
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

300 VEAZEY DR
BUTNER NC
27509-1668
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-1072
  • Fax: 919-966-0290
Mailing address:
  • Phone: 919-764-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2010-01571
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: