Healthcare Provider Details

I. General information

NPI: 1851535918
Provider Name (Legal Business Name): JANKI A. PATEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2009
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 PERRY BLVD NW
ATLANTA GA
30318-3500
US

IV. Provider business mailing address

1900 PERRY BLVD NW
ATLANTA GA
30318-3500
US

V. Phone/Fax

Practice location:
  • Phone: 470-890-0900
  • Fax:
Mailing address:
  • Phone: 470-890-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number73350
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number50073
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: