Healthcare Provider Details

I. General information

NPI: 1174746168
Provider Name (Legal Business Name): HEJAL C PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4274 W MAIN ST
DOTHAN AL
36305-1062
US

IV. Provider business mailing address

PO BOX 931176
ATLANTA GA
31193-1176
US

V. Phone/Fax

Practice location:
  • Phone: 334-793-2312
  • Fax: 334-671-0484
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number27123
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: