Healthcare Provider Details

I. General information

NPI: 1710988415
Provider Name (Legal Business Name): PARUL PATEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5887 GLENRIDGE DR STE 375
SANDY SPRINGS GA
30328-6191
US

IV. Provider business mailing address

1341 CANTON RD STE A
MARIETTA GA
30066-6056
US

V. Phone/Fax

Practice location:
  • Phone: 678-229-2800
  • Fax:
Mailing address:
  • Phone: 770-422-0517
  • Fax: 678-638-7015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number104210
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: