Individual
MANOJKUMAR CHANDULAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 ROWE ST, DUBLIN, GA 31021-5238
(478) 272-0353
(478) 272-0363
Mailing address
106 ROWE ST, DUBLIN, GA 31021-5238
(478) 272-0353
(478) 272-0363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
056910
GA
207R00000X
Internal Medicine Physician
228488
NY
207R00000X
Internal Medicine Physician
MD417056
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343159815B
—
GA
Enumeration date
07/11/2006
Last updated
08/19/2011
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