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Contact Information

SIDDHARTH A PATEL, MD
980 JOHNSON FERRY RD
STE 1040
ATLANTA, GA30342-1626
 Phone: 770-292-3460
 Fax: 404-300-2317
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for SIDDHARTH A PATEL · (Male)

NPI Number 1821001066
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2006
Last updated 02/26/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 65871
  • GA Medicaid 003135571A
  • GA Medicaid 003135571B
  • GA Medicaid 003135571C
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • 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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