Individual
DR. PREETESH P. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1295 HEMBREE ROAD, STE 101, ROSWELL, GA 30076-3809
(770) 948-6824
(770) 948-6804
Mailing address
P.O. BOX 629, AUSTELL, GA 30168-1006
(770) 948-6824
(770) 948-6804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A94696
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
054631
GA
208VP0000X
Pain Medicine Physician
054631
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
54631
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I052969
MDCR #
GA
Enumeration date
11/15/2006
Last updated
05/03/2021
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