Individual
DR. SIDDHARTH A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
980 JOHNSON FERRY RD, STE 1040, ATLANTA, GA 30342-1626
(770) 292-3460
(404) 300-2317
Mailing address
980 JOHNSON FERRY RD, STE 1040, ATLANTA, GA 30342-1626
(770) 292-3460
(404) 300-2317
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
65871
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135571A
—
GA
05
—
003135571B
—
GA
05
—
003135571C
—
GA
Enumeration date
08/15/2006
Last updated
02/26/2021
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