Provider Demographics
NPI:1326198607
Name:PATEL, MUNIRA (DC)
Entity Type:Individual
Prefix:DR
First Name:MUNIRA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1867 INDEPENDENCE SQ
Mailing Address - Street 2:STE 100
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5172
Mailing Address - Country:US
Mailing Address - Phone:770-551-9767
Mailing Address - Fax:770-393-0292
Practice Address - Street 1:1867 INDEPENDENCE SQ
Practice Address - Street 2:STE 100
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-5172
Practice Address - Country:US
Practice Address - Phone:770-551-9767
Practice Address - Fax:770-393-0292
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR003064111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor