Individual
DR. KINNA ASHOK PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
540 POWDER SPRINGS ST STE B6, MARIETTA, GA 30064-3559
(561) 293-5288
(770) 702-8809
Mailing address
540 POWDER SPRINGS ST STE B6, MARIETTA, GA 30064-3559
(561) 293-5288
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
245179
KY
213E00000X
Podiatrist
PO3693
FL
213E00000X
Podiatrist
Primary
POD001435
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5745931
AETNA
FL
01
—
650AV
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/16/2014
Last updated
09/11/2020
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