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NPI Code Detail

MEDICARE: ROHAN VIJAY PATEL M.D.

MEDICARE:   ROHAN VIJAY PATEL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0006XDevelopmental - Behavioral Pediatrics Physician2022-02211NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023471521
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROHAN VIJAY PATEL M.D.
Provider Business Mailing Address
First Line : 1914 J N PEASE PL
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-4504
Country : US
Telephone Number : 803-630-1514
Fax Number :
Provider Business Practice Location Address
First Line : 1914 J N PEASE PL
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-4504
Country : US
Telephone Number : 803-630-1514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2016
Last Update Date : 02/03/2026

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Directions to “ ROHAN VIJAY PATEL M.D.” Practice Location

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