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Contact Information

MANISH G PATEL, MD
128 MEDICAL PARK RD
SUITE 101
MOORESVILLE, NC28117-8578
 Phone: 704-658-1001
 Fax: 704-658-1002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MANISH G PATEL · (Male)

NPI # 1750362950
Status Active
Credentials MD
Entity Individual
Enumeration date 11/07/2005
Last updated 08/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 200001518
  • NC Medicaid 8912991
Hospital affiliation(s)
  • LAKE NORMAN REGIONAL MEDICAL CENTER - (Acute Care)
    171 FAIRVIEW ROAD
    MOORESVILLE, NC 28117
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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