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General NPI Number Information
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NPI Number | 1134417660
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Entity Type | Individual
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Provider Name | AMIT VIPIN PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2011
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 4201 LAKE BOONE TRL STE 104
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City | RALEIGH
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State | NC
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Zip | 27607-7511
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Country | US
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Telephone | 919-881-0160
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Fax |
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Provider Business Mailing Address
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Address Line | 1821 HILLANDALE RD STE 25C
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City | DURHAM
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State | NC
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Zip | 27705-2671
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Country | US
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Telephone |
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Fax | 919-220-5511
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 2019-01520
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License Number State | NC
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