Provider Demographics
NPI:1245209378
Name:PATEL, DINESH GOVIND (MD)
Entity Type:Individual
Prefix:
First Name:DINESH
Middle Name:GOVIND
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:993 D JOHNSON FERRY RD
Mailing Address - Street 2:SUITE 440
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342
Mailing Address - Country:US
Mailing Address - Phone:404-257-0799
Mailing Address - Fax:404-503-2280
Practice Address - Street 1:993 D JOHNSON FERRY RD
Practice Address - Street 2:SUITE 440
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342
Practice Address - Country:US
Practice Address - Phone:404-257-0799
Practice Address - Fax:404-503-2280
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0524802080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
3256923OtherAETNA HMO POS
7563083OtherAETNA MC PPO
6192347001OtherCIGNA
841530OtherBLUE CHOICE
REF437527047OtherMEDICAID REFERENCE PROVID
52841530002OtherBLUE CHOICE PROVIDERS ID
10716OtherKAISER
2327772OtherUNITED HEALTH CARE
GA924538792AMedicaid