Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 74970 | GA |
Y | 207R00000X | Internist | T-2347 | MS |
Y | 111NI0900X | Internist | T-2347 | MS |
NPI | 1225340540 |
---|---|
Provider Name | Dr. Adesh D. Patel |
First Address | Dallas, TX 75231-5953 |
Second Address | Alpharetta, GA 30005-2426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2010 |
Last Update Date | 29/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q7942 | MEDICAL LICENSE (01) | TX |