Healthcare Provider Details

I. General information

NPI: 1689932816
Provider Name (Legal Business Name): ANKUR S PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2012
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 POPLAR TENT RD STE 115
CONCORD NC
28027-9505
US

IV. Provider business mailing address

9900 POPLAR TENT RD SUITE 115 PMB 3006
CONCORD NC
28027-9505
US

V. Phone/Fax

Practice location:
  • Phone: 908-380-6892
  • Fax:
Mailing address:
  • Phone: 908-380-6892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD457460
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD457460
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: