Individual
KASHYAP PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1497 FAIR RD, SUITE 201, STATESBORO, GA 30458-0822
(912) 486-1140
(912) 486-1908
Mailing address
PO BOX 1639, STATESBORO, GA 30459
(912) 486-1140
(912) 486-1908
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
64438
GA
2084N0600X
Clinical Neurophysiology Physician
Primary
64438
GA
Other
Enumeration date
12/12/2006
Last updated
07/21/2022
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