Healthcare Provider Details

I. General information

NPI: 1790046373
Provider Name (Legal Business Name): ANKIT PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2012
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 BILL FRIES DR BLDG F
HILTON HEAD ISLAND SC
29926-2731
US

IV. Provider business mailing address

PO BOX 604411
CHARLOTTE NC
28260-4411
US

V. Phone/Fax

Practice location:
  • Phone: 843-681-6668
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number52331
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: