Provider Demographics
NPI:1699068478
Name:PATEL, RAHUL A (MD)
Entity type:Individual
Prefix:
First Name:RAHUL
Middle Name:A
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 AERIAL CENTER PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-9132
Mailing Address - Country:US
Mailing Address - Phone:256-764-8764
Mailing Address - Fax:
Practice Address - Street 1:3000 AERIAL CENTER PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-9132
Practice Address - Country:US
Practice Address - Phone:256-764-8764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL978471207P00000X
GA73775207P00000X
NC2015-00403207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine