Basic Information
Provider Information
NPI: 1649419714
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PATEL
FirstName: PARTHIV
MiddleName: B
NamePrefix: DR.
NameSuffix:  
Credential: D.O
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 7217
Address2:  
City: COLUMBUS
State: GA
PostalCode: 319087217
CountryCode: US
TelephoneNumber: 7063202773
FaxNumber:  
Practice Location
Address1: 2300 MANCHESTER EXPY # A
Address2: SUITE 101A
City: COLUMBUS
State: GA
PostalCode: 319046802
CountryCode: US
TelephoneNumber: 7063226646
FaxNumber: 7063222891
Other Information
ProviderEnumerationDate: 02/13/2009
LastUpdateDate: 09/30/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X069925GAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


Home