Individual
RISHITA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2825 KEITH BRIDGE RD STE 100, CUMMING, GA 30041
(770) 848-9200
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
081530
GA
207Q00000X
Family Medicine Physician
2014-01426
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033401302
—
NC
Enumeration date
05/05/2011
Last updated
01/21/2021
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