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NIDHIP ANIL PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
500 MEDICAL CENTER BLVD STE 310, LAWRENCEVILLE, GA 30046-3332
(678) 312-0500
(678) 312-0525
Mailing address
PO BOX 116360, ATLANTA, GA 30368-6360
(678) 312-5600
(678) 312-0439

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
73620
GA
207R00000X
Internal Medicine Physician
OS12132
FL
208000000X
Pediatrics Physician
OS12132
FL

Other

Enumeration date
04/26/2010
Last updated
03/09/2021
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