Provider Demographics
NPI:1174571541
Name:PATEL, HITESH KESHAVBHAI (MD)
Entity type:Individual
Prefix:
First Name:HITESH
Middle Name:KESHAVBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:7101 JAHNKE RD
Mailing Address - Street 2:SUITE 611
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4017
Mailing Address - Country:US
Mailing Address - Phone:804-327-4046
Mailing Address - Fax:804-327-4047
Practice Address - Street 1:501 REDMOND RD NW
Practice Address - Street 2:6TH FLOOR
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-1415
Practice Address - Country:US
Practice Address - Phone:706-368-8452
Practice Address - Fax:706-368-8453
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2007-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA053013207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA330280617AMedicaid
VAP00249957OtherRR MEDICARE
GA330280617AMedicaid
GAG83751Medicare UPIN