Individual
DHARMESHKUMAR CHHAGANLAL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2491 PANOLA RD, LITHONIA, GA 30058-4831
(678) 205-4999
(678) 205-4969
Mailing address
2491 PANOLA RD, LITHONIA, GA 30058-4831
(678) 205-4999
(678) 205-4969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
024168
AL
207Q00000X
Family Medicine Physician
Primary
055264
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
959033244A
—
GA
Enumeration date
10/02/2006
Last updated
08/04/2011
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