Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHAMPAK PATEL, MD
ActiveCHAMPAK PATEL, MD is a Legal Medicine healthcare provider located in BRASELTON, Georgia. NPI 1073585782 is currently active in the NPPES registry. Verify at CMS.
Legal Medicine · BRASELTON, GA
Registration Details
- NPI Number
- 1073585782
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2006 (20.545438641073 yrs)
- Last Updated
- Jun 12, 2008
- Licenses
-
123503 (NY)059888 (GA)
Practice Information
- Address
-
5196 HWY 53BRASELTON, GA, 30517Browse GA providers · Browse ZIP 30517
- Phone
- 7068249929
- Fax
- 7066549373
- Primary Specialty
-
Legal Medicine
173000000X
- Additional Specialty
- Legal Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.