MEDICARE: ASHWIN PATKAR 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	2084P0800X	Psychiatry Physician	2004-000396	NC

General Provider Information

NPI Number	:	1376627265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHWIN PATKAR M.D.

Provider Business Mailing Address
First Line	:	313 BELLES LANDING CT
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-9797
Country	:	US
Telephone Number	:	215-292-5183
Fax Number	:

Provider Business Practice Location Address
First Line	:	7850 BRIER CREEK PKWY STE 102
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27617-8900
Country	:	US
Telephone Number	:	919-748-4878
Fax Number	:	919-748-4876

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	07/13/2020

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