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NPI Code Detail

MEDICARE: SAGAR ASHWIN PATEL MD

MEDICARE: SAGAR ASHWIN PATEL MD
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
1207R00000XInternal Medicine Physician010071GA
2207RN0300XNephrology Physician96469GA

General Provider Information

NPI Number : 1144713959
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAGAR ASHWIN PATEL MD
Provider Business Mailing Address
First Line : 6228 BRADLEY PARK DR
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-3603
Country : US
Telephone Number : 706-322-1486
Fax Number :
Provider Business Practice Location Address
First Line : 6228 BRADLEY PARK DR
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-3603
Country : US
Telephone Number : 706-322-1486
Fax Number : 706-324-3419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2018
Last Update Date : 07/09/2024

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Directions to “ SAGAR ASHWIN PATEL MD” Practice Location

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