Provider Demographics
NPI:1083146450
Name:PATEL, VIRAJ MAYUR (MD)
Entity type:Individual
Prefix:DR
First Name:VIRAJ
Middle Name:MAYUR
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3906 WAKE FOREST RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6867
Mailing Address - Country:US
Mailing Address - Phone:919-766-8989
Mailing Address - Fax:919-766-8896
Practice Address - Street 1:3906 WAKE FOREST RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6867
Practice Address - Country:US
Practice Address - Phone:919-766-8989
Practice Address - Fax:919-766-8896
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2022-01293207Y00000X, 207YX0602X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy