Healthcare Provider Details

I. General information

NPI: 1801668082
Provider Name (Legal Business Name): TRISHNA D PATEL PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 STRAIGHT DR
ANDERSON SC
29625-1524
US

IV. Provider business mailing address

75 INNOVATION DR APT 1225
GREENVILLE SC
29607-5294
US

V. Phone/Fax

Practice location:
  • Phone: 864-520-2020
  • Fax: 864-640-4400
Mailing address:
  • Phone: 404-402-8403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: