Most Relevant Information
Provider Data
| NPI Number: | 1003398397 |
| Provider Name: | SHIVANGI MANU PATEL PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 0010-08313 |
Most Important Dates
| Enumeration Date: | 09/03/2018 |
| Last Updated: | 08/15/2022 |
Provider Practice Location
920 CHURCH ST N
CONCORD
NC
280252927
Practice Location Phone/Fax
| Phone: | 7044033664 |
| Fax: |
Provider Mailing Location
PO BOX 19305
CHARLOTTE
NC
282199305
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |