MEDICARE: HARSHIL PATEL

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	213ES0103X	Foot & Ankle Surgery Podiatrist	PR459	FL

General Provider Information

NPI Number	:	1982054151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARSHIL PATEL

Provider Business Mailing Address
First Line	:	3459 ACWORTH DUE WEST RD NW STE 430
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-5823
Country	:	US
Telephone Number	:	678-310-0540
Fax Number	:	678-310-0538

Provider Business Practice Location Address
First Line	:	3459 ACWORTH DUE WEST RD NW STE 430
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-5823
Country	:	US
Telephone Number	:	678-310-0540
Fax Number	:	678-310-0538

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

Provider Enumeration Date	:	06/17/2016
Last Update Date	:	06/11/2026

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Directions to “ HARSHIL PATEL ” Practice Location

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