MEDICARE: MR. PRANAY R. 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
1	207R00000X	Internal Medicine Physician	20947	SC

Other Identifiers

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

General Provider Information

NPI Number	:	1194729715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PRANAY R. PATEL M.D.

Provider Business Mailing Address
First Line	:	3070 REIDVILLE RD
Second Line	:	P O BOX170156
City	:	SPARTANBURG
State	:	SC
Zip	:	29301
Country	:	US
Telephone Number	:	864-576-5764
Fax Number	:	864-587-3969

Provider Business Practice Location Address
First Line	:	3070 REIDVILLE RD
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29301
Country	:	US
Telephone Number	:	864-576-5764
Fax Number	:	864-587-3969

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	08/09/2024

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