Provider Demographics
NPI:1114067980
Name:BEENA S PATEL,MD, PC
Entity Type:Organization
Organization Name:BEENA S PATEL,MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BEENA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-394-7868
Mailing Address - Street 1:8095 ROSWELL RD # A
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-3929
Mailing Address - Country:US
Mailing Address - Phone:770-394-7868
Mailing Address - Fax:770-394-6588
Practice Address - Street 1:8095 ROSWELL RD # A
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-3929
Practice Address - Country:US
Practice Address - Phone:770-394-7868
Practice Address - Fax:770-394-6588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA37322207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty