Patel, Gautam Ghanshyambhai
Patel, Gautam Ghanshyambhai is an individual health care provider with primary practice located at 1500 Matthews Township Pkwy , Matthews NC 28105-4656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Patel, Gautam Ghanshyambhai can be contacted via phone (704) 384-5416.Contact Information
Primary practice address
1500 Matthews Township Pkwy
Matthews NC 28105-4656
Phone: (704) 384-5416
Fax: (704) 384-5992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2010-01202 | North Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2010-01202 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R1569 | Kentucky |
Profile Details
| NPI number | 1679764054 |
|---|---|
| LBN Legal business name | Patel, Gautam Ghanshyambhai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2007 |
| Last updated | Jun 14th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679764054 | NPPES |
| North Carolina | Other | NC0630D | MEDICARE PIN, INDIV UNDER CHG-WILKES |
| North Carolina | MEDICAID | 1679764054 | MEDICARE PIN, INDIV UNDER CHG-WILKES |
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