Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 023656 | GA |
NPI | 1043351406 |
---|---|
Provider Name | Dr. Hasmukh R Patel |
First Address | Dalton, GA 30720-3011 |
Second Address | Dalton, GA 30720-3011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 10/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000240776A | (05) | GA |
E01181 | (02) | GA |