Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shivam Pravin Patel, MD

Individual provider Internal Medicine Physician · NPI 1619554920

Shivam Pravin Patel, MD is an Internal Medicine in Charlotte, North Carolina. Graduated from Brody School of Medicine at East Carolina University in 2021, 5 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
5
Trained at
Brody School of Medicine at East Carolina University
Licensed in
NC
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8110 Healthcare Loop
Charlotte, NC 28215-7069
Phone: (980) 488-9590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 180 John F Kennedy Dr Ste 210, Atlantis, FL 33462-6641 — (561) 548-1450

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 202402410 (NC)

Record details

NPI number1619554920
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2021
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 2021 (5 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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