Basic Information
Provider Information
NPI: 1568181329
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PATEL
FirstName: DARSHIKKUMAR
MiddleName: SHASHIKANT
NamePrefix: MR.
NameSuffix:  
Credential: APRN FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2711 FOSTER AVE
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372105307
CountryCode: US
TelephoneNumber: 6156208647
FaxNumber:  
Practice Location
Address1: 617 S 8TH ST
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372063819
CountryCode: US
TelephoneNumber: 6152273000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/25/2022
LastUpdateDate: 09/15/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/15/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X32009TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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