Individual
DR. MANOJ K PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2424A WARM SPRINGS RD, COLUMBUS, GA 31904-5638
(706) 327-6296
(706) 571-0036
Mailing address
2424A WARM SPRINGS RD, COLUMBUS, GA 31904-5638
(706) 327-6296
(706) 571-0036
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
23383
AL
207RN0300X
Nephrology Physician
Primary
48811
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000055505
—
AL
05
—
00871582B
—
GA
05
—
00871582C
—
GA
05
—
00871582F
—
GA
05
—
00871582G
—
GA
01
—
060010676
BC/BS
AL
01
—
390006997
RAILROAD MEDICARE
—
01
—
52669915
UNITED HEALTHCARE
—
01
—
699150
BC/BS
GA
Enumeration date
11/02/2005
Last updated
01/20/2010
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