Individual
DR. NISHA PANICKER ARAVINDAKSHAN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 489-9005
(844) 443-3963
Mailing address
543 WINTON TER NE UNIT A, ATLANTA, GA 30308-2826
(706) 489-9005
(844) 443-3963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207172
LA
207R00000X
Internal Medicine Physician
67339-20
WI
207R00000X
Internal Medicine Physician
75597
GA
207R00000X
Internal Medicine Physician
ME132196
FL
207RI0200X
Infectious Disease Physician
207172
LA
207RI0200X
Infectious Disease Physician
67339-20
WI
207RI0200X
Infectious Disease Physician
Primary
75597
GA
207RI0200X
Infectious Disease Physician
ME132196
FL
208M00000X
Hospitalist Physician
Primary
75597
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003180254Q
—
GA
05
—
003180254S
—
GA
05
—
003261734A
—
GA
05
—
202I210707
—
GA
05
—
2361368
—
LA
05
—
GA2058
—
SC
05
—
XC527
—
FL
Enumeration date
04/23/2010
Last updated
04/24/2026
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