Individual
MR. AMISH N. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2470 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD SPECIALTY CENTER, JONESBORO, GA 30236-2500
(404) 364-7070
(866) 232-0314
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-113371
IL
207RN0300X
Nephrology Physician
Primary
061994
GA
207RN0300X
Nephrology Physician
GA061994
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA061994
LICENSE
GA
Enumeration date
12/18/2006
Last updated
01/07/2022
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