MD Champak Patel, NPI 1073585782
Legal Medicine in Braselton, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1073585782
NPI Entity Type Individual
Provider Name MD Champak Patel
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 5196 Hwy 53, Braselton, GA, US
Provider Mailing Address 455 Beaver Ruin Rd, Lilburn, GA, US, 30047
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

173000000X

Taxonomy Name Legal Medicine
Classification

Legal Medicine

Group

Other Service Providers

License No. 059888
License State GA
Description The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Business Address

MD Champak Patel
5196 Hwy 53

Braselton, GA, US

Phone: 706-824-9929
Fax: 706-654-9373

Mailing Address

MD Champak Patel
455 Beaver Ruin Rd
Lilburn, GA, US
ZIP 30047
Phone: 770-923-7778
Fax: 770-806-1383

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207RP1001X

Allopathic & Osteopathic Physicians

Internal Medicine

123503 NY No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
000411428001 NY BLUE SHIELD 01
00525411 NY MEDICAID 05
75786IM NY GHI 01
11136 NY MVP 01
141618275 NY TAX ID 01
349351 NY EMPIRE 01
554972145A GA MEDICAID 05

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Organization

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