Provider Demographics
NPI:1982936522
Name:PATEL, NIMESH R (MD)
Entity type:Individual
Prefix:
First Name:NIMESH
Middle Name:R
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 E NC 54 HWY ASSEMBLY SUITE 1100
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27709
Mailing Address - Country:US
Mailing Address - Phone:833-464-7245
Mailing Address - Fax:
Practice Address - Street 1:4001 E NC 54 HWY ASSEMBLY SUITE 1100
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27709
Practice Address - Country:US
Practice Address - Phone:833-464-7245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD447746207ZP0102X
CAC196586207ZP0007X
RIMD15093207ZP0102X
TXBP10034558207ZP0102X
MA290553207ZP0007X
NC306220207ZP0007X
TXBP20047685207ZP0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic Pathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology