Healthcare Provider Details

I. General information

NPI: 1932010766
Provider Name (Legal Business Name): DHARA PATEL
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 ERWIN ROAD
DURHAM NC
27710-1000
US

IV. Provider business mailing address

2301 ERWIN ROAD
DURHAM NC
27710-1000
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-8111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number1253103
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: