Healthcare Provider Details

I. General information

NPI: 1619219300
Provider Name (Legal Business Name): ASHISH N PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2013
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2145 HENRY TECKLENBURG DR STE 100
CHARLESTON SC
29414-5894
US

IV. Provider business mailing address

PO BOX 751649
CHARLOTTE NC
28275-1649
US

V. Phone/Fax

Practice location:
  • Phone: 843-402-1766
  • Fax: 843-402-1768
Mailing address:
  • Phone: 888-472-0043
  • Fax: 843-724-2440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number61181
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: