Individual
DR. RAJENDRA F PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2965D JOHNSON FERRY RD, MARIETTA, GA 30062-5653
(770) 998-5000
(770) 552-2869
Mailing address
2965D JOHNSON FERRY RD, MARIETTA, GA 30062-5653
(770) 998-5000
(770) 552-2869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
021781
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
581571997
FEDERAL EMPLOYER I D
GA
Enumeration date
05/30/2005
Last updated
06/22/2011
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