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NPI Code Detail

MEDICARE: KRISHNA DHARMENDRA PATEL OD

MEDICARE: KRISHNA DHARMENDRA PATEL OD
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
1152W00000XOptometrist2794NC

General Provider Information

NPI Number : 1518528850
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISHNA DHARMENDRA PATEL OD
Provider Business Mailing Address
First Line : PO BOX 60160
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0160
Country : US
Telephone Number : 43-650-5557
Fax Number : 704-367-8120
Provider Business Practice Location Address
First Line : 135 S SHARON AMITY RD STE 100
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-3870
Country : US
Telephone Number : 704-365-0555
Fax Number : 704-367-8120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2019
Last Update Date : 06/10/2026

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Directions to “ KRISHNA DHARMENDRA PATEL OD” Practice Location

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