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NPI Code Detail

MEDICARE: DR. CHAITANY R PATEL M.D.

MEDICARE: DR. CHAITANY 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
1207Q00000XFamily Medicine Physician200601175NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11457531790OTHERNCTRICITY FAMILY MEDICINE GROUP NPI
2200601175OTHERNCLICENSE
31881987691OTHERNCTRICITY FAMILY MEDICINE GROUP BCBS COMMERCIAL NPI

General Provider Information

NPI Number : 1275632945
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHAITANY R PATEL M.D.
Provider Business Mailing Address
First Line : 107 HYANNIS DR
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540-8336
Country : US
Telephone Number : 919-363-8666
Fax Number : 919-363-8668
Provider Business Practice Location Address
First Line : 107 HYANNIS DR
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540-8336
Country : US
Telephone Number : 919-363-8666
Fax Number : 919-363-8668
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 05/16/2023

Similar Medicare Providers

1457531790 — TRI-CITY FAMILY MEDICINE & URGENT CARE CLINIC, PLLC
Practice Location Address:
107 HYANNIS DR
HOLLY SPRINGS, NC
27540-8336
Practice Phone: 919-363-8666
Practice Fax: 919-363-8668
1881987691 — TRI-CITY FAMILY MEDICINE & URGENT CARE CLINIC, PLLC
Practice Location Address:
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HOLLY SPRINGS, NC
27540-8336
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Practice Fax: 919-363-8668
1912684432 — ALEXA NICOLE MOORE FNP-BC
Practice Location Address:
107 HYANNIS DR
HOLLY SPRINGS, NC
27540-8336
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Practice Fax:
1730570631 — REBECCA E KNOPF FNP-C
Practice Location Address:
107 HYANNIS DR
HOLLY SPRINGS, NC
27540-8336
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Practice Fax: 919-363-8668
1396298501 — KRISTEN GEYER FNP-BC
Practice Location Address:
107 HYANNIS DR
HOLLY SPRINGS, NC
27540-8336
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1740215342 — MR. ANDREW J READY D.P.T.
Practice Location Address:
111 HYANNIS DR
HOLLY SPRINGS, NC
27540-8336
Practice Phone: 919-303-3331
Practice Fax: 919-303-9199

Directions to “ DR. CHAITANY R PATEL M.D.” Practice Location

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