Healthcare Provider Details

I. General information

NPI: 1255416947
Provider Name (Legal Business Name): KAMLESHKUMAR PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: KAMLESH PATEL M.D.

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1663 E MAIN ST
DUNCAN SC
29334-9217
US

IV. Provider business mailing address

PO BOX 5158
SPARTANBURG SC
29304-5158
US

V. Phone/Fax

Practice location:
  • Phone: 864-582-2411
  • Fax:
Mailing address:
  • Phone: 864-582-2411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number94446
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: