Individual
VIJAYKUMAR SURENDRAKANT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH STREET, AUGUSTA, GA 30912
(706) 721-3226
(706) 721-7508
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2650
(706) 828-6410
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
055415
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
73615
AZ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
J3687
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681951152A
—
GA
05
—
Q00619
—
SC
Enumeration date
09/22/2006
Last updated
09/24/2024
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