MEDICARE: DR. NIRAJ PATEL D.O.

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
1	207Q00000X	Family Medicine Physician	S0969	TX
2	207Q00000X	Family Medicine Physician	DR.0063414	CO
3	207Q00000X	Family Medicine Physician	65798	CT
4	207Q00000X	Family Medicine Physician	DO034954	DC
5	207Q00000X	Family Medicine Physician	OS16529	FL
6	207Q00000X	Family Medicine Physician	18511	CA
7	207Q00000X	Family Medicine Physician	2169	AL
8	207Q00000X	Family Medicine Physician	E-13264	AR
9	207Q00000X	Family Medicine Physician	149901	AK
10	207Q00000X	Family Medicine Physician	008542	AZ
11	207Q00000X	Family Medicine Physician	036.151580	IL
12	207Q00000X	Family Medicine Physician	DOS2024	HI
13	207Q00000X	Family Medicine Physician	OC-0067	ID
14	207QS0010X	Sports Medicine (Family Medicine) Physician	S0969	TX
15	207Q00000X	Family Medicine Physician	85586	GA

General Provider Information

NPI Number	:	1255726865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIRAJ PATEL D.O.

Provider Business Mailing Address
First Line	:	2870 PEACHTREE RD NW # 915-1643
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-2918
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2870 PEACHTREE RD NW # 915-1643
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-2918
Country	:	US
Telephone Number	:	347-709-4042
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2015
Last Update Date	:	03/25/2025

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Directions to “ DR. NIRAJ PATEL D.O.” Practice Location

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