MEDICARE: HAMANT B. PATEL, MD, PC

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	207V00000X	Obstetrics & Gynecology Physician	043738	GA

General Provider Information

NPI Number	:	1043221583
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMANT B. PATEL, MD, PC

Provider Business Mailing Address
First Line	:	1558 WATSON BLVD
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31093-3432
Country	:	US
Telephone Number	:	478-918-0120
Fax Number	:	478-329-1900

Provider Business Practice Location Address
First Line	:	1558 WATSON BLVD
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31093-3432
Country	:	US
Telephone Number	:	478-918-0120
Fax Number	:	478-329-1900

Authorized Official
Title or Position	:	OWNER
Name	:	HAMANT B. PATEL
Credential	:	MD
Telephone Number	:	478-918-0120

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	08/21/2008

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