Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 030179 | GA |
Y | 207RH0003X | Hematology & Oncology | MD032666E | PA |
NPI | 1033292685 |
---|---|
Provider Name | Dr. Atulkumar D Patel |
First Address | Dalton, GA 30720-7121 |
Second Address | Dalton, GA 30720-7121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00358861A | (05) | GA |
1027806920001 | (05) | PA |
E00996 | (02) |