Healthcare Provider Details

I. General information

NPI: 1831019066
Provider Name (Legal Business Name): PUJA PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 N. CENTER ST., HICKORY, NC 28601
HICKORY NC
28601
US

IV. Provider business mailing address

324 WINDING CREEK DR
MORGANTON NC
28655-6570
US

V. Phone/Fax

Practice location:
  • Phone: 704-799-6824
  • Fax:
Mailing address:
  • Phone: 828-391-3007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: