Individual
MUKESH R PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 CROWNPOINTE WAY, LAWRENCEVILLE, GA 30046-7702
(678) 344-8900
(678) 666-5201
Mailing address
1551 JANMAR RD, SNELLVILLE, GA 30078-5606
(678) 344-8900
(678) 666-5201
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
021882
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000304818B
—
GA
05
—
00304818A
—
GA
Enumeration date
03/21/2006
Last updated
09/20/2023
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