MEDICARE: DR. NILESH HARIBHAI 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	2085R0204X	Vascular & Interventional Radiology Physician	G75762	CA
2	2085R0204X	Vascular & Interventional Radiology Physician	G075762	CA
3	2085R0204X	Vascular & Interventional Radiology Physician	93200	SC
4	2085R0204X	Vascular & Interventional Radiology Physician	56442	AZ
5	2085R0204X	Vascular & Interventional Radiology Physician	036106011	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00463387	OTHER	IL	MEDICARE RAILROAD
3	206147	OTHER	IL	MEDICARE GROUP

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
4	3625139096019701	OTHER	IL	CDH HFS GROUP PAYEE ID

General Provider Information

NPI Number	:	1467400580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NILESH HARIBHAI PATEL M.D.

Provider Business Mailing Address
First Line	:	5640 MONT PELIER CT
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89511-8022
Country	:	US
Telephone Number	:	312-320-0112
Fax Number	:

Provider Business Practice Location Address
First Line	:	1303 AZALEA CT STE B
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-5765
Country	:	US
Telephone Number	:	843-692-0570
Fax Number	:

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	10/07/2025

Similar Medicare Providers

1942297635 — DR. GREGOR G CLEVELAND MD
Practice Location Address:

1303 AZALEA CT , SUITE C
MYRTLE BEACH, SC
29577-5765

Practice Phone: 843-692-0570
Practice Fax: 843-497-9566

1093702508 — DR. SCOTT H ALLEN MD
Practice Location Address:

1303 AZALEA CT , SUITE C
MYRTLE BEACH, SC
29577-5765

Practice Phone: 843-692-0570
Practice Fax: 843-497-9566

1205893187 — DR. DAVID M WILLIAMS III MD
Practice Location Address:

1303 AZALEA CT STE B
MYRTLE BEACH, SC
29577-5765

Practice Phone: 843-692-0570
Practice Fax: 843-692-7641

1881608594 — FAHEEM HUSSAIN M.D.
Practice Location Address:

1303 AZALEA CT , SUITE C
MYRTLE BEACH, SC
29577-5765

Practice Phone: 843-467-2676
Practice Fax: 843-497-9566

1598077596 — ROBERT H HAZELRIGG MD
Practice Location Address:

1303 AZALEA CT , SUITE C
MYRTLE BEACH, SC
29577-5765

Practice Phone: 843-692-0570
Practice Fax:

1942610381 — SEJONG LEE MD
Practice Location Address:

1303 AZALEA CT STE B
MYRTLE BEACH, SC
29577-5765

Practice Phone: 843-692-0570
Practice Fax:

Directions to “ DR. NILESH HARIBHAI PATEL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.