Provider Demographics
NPI:1750670238
Name:PATEL, BIRANJ (DC)
Entity Type:Individual
Prefix:DR
First Name:BIRANJ
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 BIRMINGHAM RD
Mailing Address - Street 2:BUILDING 501, SUITE 301
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-4417
Mailing Address - Country:US
Mailing Address - Phone:404-863-6688
Mailing Address - Fax:770-991-1226
Practice Address - Street 1:34 UPPER RIVERDALE RD SW
Practice Address - Street 2:SUITE #206
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274
Practice Address - Country:US
Practice Address - Phone:770-991-1227
Practice Address - Fax:770-991-1226
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008075111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor