MEDICARE: YASHVANT D 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	207Q00000X	Family Medicine Physician	037326	GA

General Provider Information

NPI Number	:	1760483481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASHVANT D PATEL MD

Provider Business Mailing Address
First Line	:	2300 MANCHESTER EXPY
Second Line	:	SUITE F- 8
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6802
Country	:	US
Telephone Number	:	706-494-5955
Fax Number	:	706-499-5933

Provider Business Practice Location Address
First Line	:	2300 MANCHESTER EXPY
Second Line	:	SUITE F-8
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6802
Country	:	US
Telephone Number	:	706-494-5955
Fax Number	:	706-494-5933

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

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	06/01/2011

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