Provider Demographics
NPI:1952286049
Name:PATEL, MOHINI HARSHVADAN (NP)
Entity type:Individual
Prefix:MRS
First Name:MOHINI
Middle Name:HARSHVADAN
Last Name:PATEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6042 NORCROSS GLEN TRCE
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-1806
Mailing Address - Country:US
Mailing Address - Phone:610-757-8119
Mailing Address - Fax:
Practice Address - Street 1:6042 NORCROSS GLEN TRCE
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-1806
Practice Address - Country:US
Practice Address - Phone:610-757-8119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN285642363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily