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NPI Code Detail

MEDICARE: DR. PRAVINCHANDRA H PATEL M.D.

MEDICARE: DR. PRAVINCHANDRA H PATEL M.D.
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
1207RG0100XGastroenterology Physician027888GA

General Provider Information

NPI Number : 1326055609
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRAVINCHANDRA H PATEL M.D.
Provider Business Mailing Address
First Line : 1041 TALBOTTON RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-8745
Country : US
Telephone Number : 706-327-0700
Fax Number : 706-327-0757
Provider Business Practice Location Address
First Line : 1130 TALBOTTON RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-8749
Country : US
Telephone Number : 706-327-0700
Fax Number : 706-327-0757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 07/08/2007

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