Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 83353 | GA |
N | 111NI0900X | Internist | 83353 | GA |
Y | 207RG0100X | Gastroenterologist | 83353 | GA |
NPI | 1043503972 |
---|---|
Provider Name | Anand P. Patel |
First Address | Atlanta, GA 30303-3031 |
Second Address | Atlanta, GA 30303-3031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2011 |
Last Update Date | 09/08/2019 |