Individual
DR. DEVESH R PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 GREENE ST STE 200, AUGUSTA, GA 30901-2385
(706) 722-6900
(706) 722-5118
Mailing address
701 GREENE ST STE 200, AUGUSTA, GA 30901-2385
(706) 722-6900
(706) 722-5118
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
054171
GA
207RN0300X
Nephrology Physician
28265
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043723466
TRICARE PROVIDER NUMBER
SC
05
—
282651
—
SC
01
—
7409727
AETNA PROVIDER NUMBER
SC
Enumeration date
04/18/2006
Last updated
06/08/2021
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