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Contact Information

MITAL PATEL
575 PROFESSIONAL DR
LAWRENCEVILLE, GA30046-3333
 Phone: 678-312-5200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MITAL PATEL · (Male)

NPI # 1659766590
Status Active
Credentials
Entity Individual
Enumeration date 03/30/2015
Last updated 03/26/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 86221
Hospital affiliation(s)
  • GWINNETT MEDICAL CENTER - (Acute Care)
    1000 MEDICAL CENTER BOULEVARD
    LAWRENCEVILLE, GA 30045
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL CHEROKEE - (Acute Care)
    201 HOSPITAL ROAD
    CANTON, GA 30114
  • 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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