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NPI Code Detail

MEDICARE: NISHA BHUPESH PATEL MD

MEDICARE:   NISHA BHUPESH PATEL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RA0201XAllergy & Immunology (Internal Medicine) Physician2025012240MO
2207K00000XAllergy & Immunology Physician113216GA

General Provider Information

NPI Number : 1073192324
Entity Type Code : Individual
Provider Name (Legal Business Name) : NISHA BHUPESH PATEL MD
Provider Business Mailing Address
First Line : 57 EXECUTIVE PARK S STE 400
Second Line :
City : ATLANTA
State : GA
Zip : 30329-2249
Country : US
Telephone Number : 404-778-3261
Fax Number :
Provider Business Practice Location Address
First Line : 57 EXECUTIVE PARK S STE 400
Second Line :
City : ATLANTA
State : GA
Zip : 30329-2249
Country : US
Telephone Number : 404-778-3261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2021
Last Update Date : 06/01/2026

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Directions to “ NISHA BHUPESH PATEL MD” Practice Location

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