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NPI Code Detail

MEDICARE: MIRALI NARESHKUMAR PATEL AGNP-C

MEDICARE: MIRALI NARESHKUMAR PATEL AGNP-C
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
1363LG0600XGerontology Nurse PractitionerRN260765GA
2163W00000XRegistered NurseRN260765GA

General Provider Information

NPI Number : 1780441253
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRALI NARESHKUMAR PATEL AGNP-C
Provider Business Mailing Address
First Line : 285 BOULEVARD NE STE 610
Second Line :
City : ATLANTA
State : GA
Zip : 30312-4212
Country : US
Telephone Number : 404-653-0039
Fax Number :
Provider Business Practice Location Address
First Line : 285 BOULEVARD NE STE 610
Second Line :
City : ATLANTA
State : GA
Zip : 30312-4212
Country : US
Telephone Number : 404-653-0039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2024
Last Update Date : 02/10/2026

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Directions to “ MIRALI NARESHKUMAR PATEL AGNP-C” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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