Individual
DR. PRATIKKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1412 MILSTEAD AVE NE STE 100, CONYERS, GA 30012-3877
(770) 483-9330
Mailing address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-4906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PG163291
OR
207RC0000X
Cardiovascular Disease Physician
Primary
92581
GA
207RC0000X
Cardiovascular Disease Physician
H87177
MD
Other
Enumeration date
06/12/2013
Last updated
10/17/2022
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