Healthcare Provider Details

I. General information

NPI: 1023990918
Provider Name (Legal Business Name): SONALEE PATEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 WEEKS DR
ROXBORO NC
27573-3929
US

IV. Provider business mailing address

350 CARRAWAY XING APT 712
CHAPEL HILL NC
27516-7969
US

V. Phone/Fax

Practice location:
  • Phone: 336-598-5480
  • Fax:
Mailing address:
  • Phone: 951-818-5383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0010-15346
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: