Healthcare Provider Details

I. General information

NPI: 1194455469
Provider Name (Legal Business Name): KINJALBEN PATEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2022
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E WENDOVER AVE STE 315
GREENSBORO NC
27401-1210
US

IV. Provider business mailing address

G3230 BEECHER RD STE 1
FLINT MI
48532-3604
US

V. Phone/Fax

Practice location:
  • Phone: 336-832-4444
  • Fax: 336-832-4445
Mailing address:
  • Phone: 810-342-5656
  • Fax: 810-342-5600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2025-02895
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: