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General NPI Number Information
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NPI Number | 1548722085
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Entity Type | Individual
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Provider Name | ROOSHIL PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 415 TOTOWA RD
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City | TOTOWA
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State | NJ
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Zip | 07512-2081
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Country | US
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Telephone | 973-595-0011
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Fax | 959-595-5155
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Provider Business Mailing Address
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Address Line | 3775 ROSWELL RD STE 100
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City | MARIETTA
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State | GA
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Zip | 30062-8832
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Country | US
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Telephone | 678-381-2020
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 95530
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25MA12765800
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License Number State | NJ
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