Active NPI
Avani Patel, CNIM
- Other Specialist/Technologist
- Mount Pleasant, SC
National Provider Identifier
1023401239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- Practice address
- 1300 Park West Blvd.
Madison at Park West Apt 107
Mount Pleasant, SC 29466 - Phone
- (734) 395-5882
- Fax
- (734) 994-8457
- NPI assigned
- Mar 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | Primary |
Addresses
Primary practice location
1300 Park West Blvd.
Madison at Park West Apt 107
Mount Pleasant, SC 29466
Mailing address
1300 Park West Blvd.
Madison at Park West Apt 107
Mount Pleasant, SC 29466
Phone (734) 395-5882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1023401239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 PARK WEST BLVD.",
"address_2": "MADISON AT PARK WEST APT 107",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "29466",
"telephone_number": "734-395-5882",
"fax_number": "734-994-8457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 PARK WEST BLVD.",
"address_2": "MADISON AT PARK WEST APT 107",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "29466",
"telephone_number": "734-395-5882",
"fax_number": "734-994-8457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "AVANI",
"credential": "CNIM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-12",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.