Provider Demographics
NPI:1659505220
Name:PATEL, NIKHIL GOVINDBHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:NIKHIL
Middle Name:GOVINDBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1499 WALTON WAY
Mailing Address - Street 2:STE. 1400
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901-2602
Mailing Address - Country:US
Mailing Address - Phone:706-724-6100
Mailing Address - Fax:904-244-4060
Practice Address - Street 1:1120 15TH ST
Practice Address - Street 2:CLINICAL CENTER, 1ST FLOOR
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0004
Practice Address - Country:US
Practice Address - Phone:706-724-6100
Practice Address - Fax:904-244-4060
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA073133207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology