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Contact Information

NIBEDITA PATRO, MD
1080 SANDERS RD
STE 100
CUMMING, GA30041-8057
 Phone: 770-887-2323
 Fax: 770-887-2325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for NIBEDITA PATRO · (Female)

NPI # 1992805006
Status Active
Credentials MD
Entity Individual
Enumeration date 09/25/2006
Last updated 02/26/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 058092
  • GA Medicaid 000974509L
  • GA Medicaid 000974509M
  • GA Medicaid 000974509N
  • GA Medicaid 085000920G
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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