NPI Code Details Logo

NPI 1255693529

NPI 1255693529 : SHEETAL PATEL D.O. : ROCKY MOUNT, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1255693529
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SHEETAL PATEL D.O.
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/13/2012
-----------------------------------------------------
    Last Update Date     |    03/20/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2460 CURTIS ELLIS DR STE 100 
-----------------------------------------------------
    City                 |    ROCKY MOUNT
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27804-2237
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    252-962-2328
-----------------------------------------------------
    Fax                  |    252-962-3186
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6250 REGIONAL PLZ STE 1010 
-----------------------------------------------------
    City                 |    ABILENE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79606-5223
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    325-428-5500
-----------------------------------------------------
    Fax                  |    325-428-5519
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    #OT014681
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207RI0011X
-----------------------------------------------------
    Taxonomy Name        |    Interventional Cardiology Physician
-----------------------------------------------------
    License Number       |    S2456
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207RI0011X
-----------------------------------------------------
    Taxonomy Name        |    Interventional Cardiology Physician
-----------------------------------------------------
    License Number       |    2023-00117
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.