Healthcare Provider Details

I. General information

NPI: 1982936522
Provider Name (Legal Business Name): NIMESH R. PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2010
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 E NC 54 HWY ASSEMBLY SUITE 1100
DURHAM NC
27709
US

IV. Provider business mailing address

4001 E NC 54 HWY ASSEMBLY SUITE 1100
DURHAM NC
27709
US

V. Phone/Fax

Practice location:
  • Phone: 833-464-7245
  • Fax:
Mailing address:
  • Phone: 833-464-7245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD447746
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207ZP0007X
TaxonomyMolecular Genetic Pathology (Pathology) Physician
License NumberC196586
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD15093
License Number StateRI
# 4
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberBP10034558
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code207ZP0007X
TaxonomyMolecular Genetic Pathology (Pathology) Physician
License Number290553
License Number StateMA
# 6
Primary TaxonomyY
Taxonomy Code207ZP0007X
TaxonomyMolecular Genetic Pathology (Pathology) Physician
License Number306220
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code207ZP0007X
TaxonomyMolecular Genetic Pathology (Pathology) Physician
License NumberBP20047685
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: