MEDICARE: DR. SNEHAL GHANSHYAM PATEL M.D., M.S.

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	208600000X	Surgery Physician	74060	GA
2	208600000X	Surgery Physician	MD453939	PA

General Provider Information

NPI Number	:	1679890990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SNEHAL GHANSHYAM PATEL M.D., M.S.

Provider Business Mailing Address
First Line	:	5673 PEACHTREE DUNWOODY RD
Second Line	:	SUITE 350
City	:	ATLANTA
State	:	GA
Zip	:	30342-1731
Country	:	US
Telephone Number	:	404-778-3712
Fax Number	:	404-778-5033

Provider Business Practice Location Address
First Line	:	1364 CLIFTON RD NE
Second Line	:	H-WING
City	:	ATLANTA
State	:	GA
Zip	:	30322-3215
Country	:	US
Telephone Number	:	404-727-9610
Fax Number	:

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

Provider Enumeration Date	:	04/26/2010
Last Update Date	:	09/15/2016

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