Shanker-Patel, Kavita
Shanker-Patel, Kavita is an individual health care provider with primary practice located at 3614 Providence Rd S Ste 200 , Waxhaw NC 28173-6310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shanker-Patel, Kavita can be contacted via phone (704) 384-8640.Contact Information
Primary practice address
3614 Providence Rd S Ste 200
Waxhaw NC 28173-6310
Phone: (704) 384-8640
Fax: (704) 384-8650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036138106 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 125061830 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2022-01815 | North Carolina |
Profile Details
| NPI number | 1124384789 |
|---|---|
| LBN Legal business name | Shanker-Patel, Kavita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2012 |
| Last updated | Oct 3rd, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124384789 | NPPES |
| Illinois | Other | 920540 | MEDICARE PTAN (GROUP) |
| Illinois | Other | F400250954 | MEDICARE PTAN (GROUP) |
| Illinois | Other | 036138106 | MEDICARE PTAN (GROUP) |
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