Patel, Shephali Nimish

Patel, Shephali Nimish is an individual health care provider with primary practice located at 1040 Edgewater Corporate Pkwy Suite 101 , Indian Land SC 29707-7177. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Patel, Shephali Nimish can be contacted via phone (803) 548-7007.

Contact Information

Primary practice address
1040 Edgewater Corporate Pkwy Suite 101 Indian Land SC 29707-7177
Fax: (803) 802-2015
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA07853100 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31989 South Carolina

Profile Details

NPI number 1538386610
LBN Legal business name Patel, Shephali Nimish
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Aug 13th, 2015 - about 9 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538386610 NPPES
New Jersey MEDICAID 0061867

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