MEDICARE: RAXIT RAJESH 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
1	207RP1001X	Pulmonary Disease Physician	64951	GA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	64951	GA

General Provider Information

NPI Number	:	1417118605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAXIT RAJESH PATEL MD

Provider Business Mailing Address
First Line	:	460 NORTHSIDE CHEROKEE BLVD STE 130
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30115-8017
Country	:	US
Telephone Number	:	678-493-2527
Fax Number	:	678-493-5608

Provider Business Practice Location Address
First Line	:	460 NORTHSIDE CHEROKEE BLVD STE 130
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30115-8017
Country	:	US
Telephone Number	:	678-493-2527
Fax Number	:	678-493-5608

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2008
Last Update Date	:	03/02/2026

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