Individual
PRAKASH J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1170 SHAWNEE ST, SAVANNAH, GA 31419-1618
(912) 920-0214
Mailing address
1654 NEWSTONE ST, LAWRENCEVILLE, GA 30043-4946
(717) 736-3056
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
72074
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011326860001
—
PA
Enumeration date
02/15/2006
Last updated
02/21/2019
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