Healthcare Provider Details

I. General information

NPI: 1326834383
Provider Name (Legal Business Name): MEET PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2025
Last Update Date: 04/16/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTRE BLVD
WINSTON SALEM NC
27157-0001
US

IV. Provider business mailing address

5672 MOSSBANK LN
WINSTON SALEM NC
27106-9839
US

V. Phone/Fax

Practice location:
  • Phone: 336-716-7095
  • Fax:
Mailing address:
  • Phone: 336-979-3232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License NumberRTL24-1313
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: