Individual
DR. TARAK HARIKRISHNA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
790 CHURCH ST NE STE 400, MARIETTA, GA 30060-8957
(770) 405-2976
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
(770) 405-2976
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
66302
GA
2085R0202X
Diagnostic Radiology Physician
T1862
MD
2085R0204X
Vascular & Interventional Radiology Physician
Primary
66302
GA
Other
Enumeration date
02/08/2007
Last updated
11/20/2023
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