Patil, Shivajirao Prakash
Patil, Shivajirao Prakash is an individual health care provider with primary practice located at 101 Heart Dr , Greenville NC 27834-8982. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Patil, Shivajirao Prakash can be contacted via phone (252) 744-4611.Contact Information
Primary practice address
101 Heart Dr
Greenville NC 27834-8982
Phone: (252) 744-4611
Fax: (252) 744-3040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2013-02228 | North Carolina |
Profile Details
| NPI number | 1023339173 |
|---|---|
| LBN Legal business name | Patil, Shivajirao Prakash |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2010 |
| Last updated | May 5th, 2026 - about 5 months 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 | 1023339173 | NPPES |
| North Carolina | Other | 1867E | BCBS NC |
| North Carolina | MEDICAID | 1023339173 | BCBS NC |
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