Provider Demographics
NPI:1144981044
Name:PATEL, NIKITA AILESH (PA-C)
Entity type:Individual
Prefix:
First Name:NIKITA
Middle Name:AILESH
Last Name:PATEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:NIKITA
Other - Middle Name:AILESHKUMAR
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5149 BARBEE CHAPEL RD APT 201
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9448
Mailing Address - Country:US
Mailing Address - Phone:859-445-6959
Mailing Address - Fax:
Practice Address - Street 1:5234 N ROXBORO RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27712-2831
Practice Address - Country:US
Practice Address - Phone:919-797-9991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-04
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9118072363A00000X
FL1211137363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant