Provider Demographics
NPI:1871755025
Name:PATEL, AMRISH (MD)
Entity type:Individual
Prefix:DR
First Name:AMRISH
Middle Name:
Last Name:PATEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2340 PATRICK HENRY PKWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-4325
Mailing Address - Country:US
Mailing Address - Phone:678-866-3646
Mailing Address - Fax:678-804-6862
Practice Address - Street 1:2340 PATRICK HENRY PKWY
Practice Address - Street 2:SUITE 150
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-4325
Practice Address - Country:US
Practice Address - Phone:678-866-3646
Practice Address - Fax:678-804-6862
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
GA679502081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA102I252610Medicare PIN