Champak Patel MD

NPI 1073585782 - Internal Medicine - 207RP1001X

NPI Details
NPI 1073585782
Gender Male
Enumeration Date 02/06/2006
Last Updated 06/12/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
5196 HWY 53
BRASELTON GA, 30517, US
Phone (706) 824-9929
Fax (706) 654-9373
Business Location
455 BEAVER RUIN RD
LILBURN GA, 30047, US
Phone (770) 923-7778
Fax (770) 806-1383
Toxanomy
Taxonomy Code 207RP1001X
License State New York
License Number 123503
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According to our database, Champak Patel MD NPI is 1073585782, taxonomy code is 207RP1001X and license number is 123503, license state is located at New York. Champak Patel MD physically located at 5196 Hwy 53, Braselton GA, 30517. NPI Number Champak Patel MD has the Individual type.

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1073585782 NPI number is provided on an as is basis without warranty of any kind. 1073585782 is maintained by the National Plan & Provider Enumeration System. The contents of Champak Patel MD are for informational purposes only.