Healthcare Provider Details

I. General information

NPI: 1871850065
Provider Name (Legal Business Name): ANKIT ANIL PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2012
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 ERWIN RD
DURHAM NC
27705-4504
US

IV. Provider business mailing address

3000 ERWIN RD
DURHAM NC
27705-4504
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-6669
  • Fax:
Mailing address:
  • Phone: 919-684-3104
  • Fax: 919-681-8703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P0301X
TaxonomyBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician
License Number2016-01731
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number2016-01731
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: