Individual
NISHA BHUPESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
57 EXECUTIVE PARK S STE 400, ATLANTA, GA 30329-2249
(404) 778-3261
Mailing address
57 EXECUTIVE PARK S STE 400, ATLANTA, GA 30329-2249
(404) 778-3261
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
113216
GA
207R00000X
Internal Medicine Physician
31676
MN
207R00000X
Internal Medicine Physician
72019
MN
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
2025012240
MO
Other
Enumeration date
04/05/2021
Last updated
06/01/2026
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