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NPI Code Detail

MEDICARE: VIDHI KISHOR PATEL NP

MEDICARE: VIDHI KISHOR PATEL NP
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
1363L00000XNurse Practitioner5011920NC

General Provider Information

NPI Number : 1750922118
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIDHI KISHOR PATEL NP
Provider Business Mailing Address
First Line : 3158 FREEDOM DR STE 3102
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-0014
Country : US
Telephone Number : 704-791-7099
Fax Number : 704-971-0035
Provider Business Practice Location Address
First Line : 3158 FREEDOM DR STE 3102
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-0014
Country : US
Telephone Number : 704-348-2992
Fax Number : 704-971-0035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2019
Last Update Date : 06/01/2026

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Directions to “ VIDHI KISHOR PATEL NP” Practice Location

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