Provider Demographics
NPI:1306854922
Name:PATEL, NAYANA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAYANA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 HOLLY HILL RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30655-1923
Mailing Address - Country:US
Mailing Address - Phone:770-267-8743
Mailing Address - Fax:770-267-8743
Practice Address - Street 1:4280 N VALDOSTA RD
Practice Address - Street 2:DEPT OF ANESTHESIA
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-6814
Practice Address - Country:US
Practice Address - Phone:229-671-2066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA026909207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000319008DMedicaid
GA000319008CMedicaid
GA00319008AMedicaid
GAD40820Medicare UPIN
GA000319008CMedicaid