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NPI Code Detail

MEDICARE: DR. ANJALI PATEL

MEDICARE:  DR. ANJALI  PATEL
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
1152W00000XOptometristOPT-2508GA

General Provider Information

NPI Number : 1720098304
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANJALI PATEL
Provider Business Mailing Address
First Line : 2905 COBB PKWY SE
Second Line :
City : ATLANTA
State : GA
Zip : 30339-3596
Country : US
Telephone Number : 770-952-1100
Fax Number :
Provider Business Practice Location Address
First Line : 2905 COBB PKWY SE
Second Line :
City : ATLANTA
State : GA
Zip : 30339-3596
Country : US
Telephone Number : 770-952-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 05/15/2015

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Directions to “ DR. ANJALI PATEL ” Practice Location

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