1689651036 NPI number — DR. DHARMESH S. PATEL MD

Table of content: DR. DHARMESH S. PATEL MD (NPI 1689651036)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689651036 NPI number — DR. DHARMESH S. PATEL MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PATEL
Provider First Name:
DHARMESH
Provider Middle Name:
S.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689651036
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/25/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8060 WOLF RIVER BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GERMANTOWN
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38138-1727
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
901-271-1000
Provider Business Mailing Address Fax Number:
901-271-4187

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
391 SOUTHCREST CIR
Provider Second Line Business Practice Location Address:
STE. 200
Provider Business Practice Location Address City Name:
SOUTHAVEN
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38671
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-271-1000
Provider Business Practice Location Address Fax Number:
901-271-4187
Provider Enumeration Date:
12/28/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  18526 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3894936 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4146202 . This is a "BCBS" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: P00378336 . This is a "RAIL ROAD MEDICARE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 207078001 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 05479825 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7537537 . This is a "AETNA" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 99646 . This is a "BCBS" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: P00372268 . This is a "RAIL ROAD MEDICARE" identifier , issued by the state of ( MS ) . This identifiers is of the category "OTHER".




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