Healthcare Provider Details

I. General information

NPI: 1346117405
Provider Name (Legal Business Name): PATEL INNOVATIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 SAVAGE RD STE 100E
CHARLESTON SC
29407-4788
US

IV. Provider business mailing address

1941 SAVAGE RD STE 100E
CHARLESTON SC
29407-4788
US

V. Phone/Fax

Practice location:
  • Phone: 469-463-3556
  • Fax:
Mailing address:
  • Phone: 843-920-0570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: SHILPA PATEL
Title or Position: OWNER
Credential:
Phone: 757-618-4022