Provider Demographics
NPI:1801186689
Name:PATEL, SAGAR M (DO)
Entity Type:Individual
Prefix:DR
First Name:SAGAR
Middle Name:M
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 639219
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-9219
Mailing Address - Country:US
Mailing Address - Phone:770-834-0751
Mailing Address - Fax:770-834-0753
Practice Address - Street 1:705 DIXIE STREET
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117
Practice Address - Country:US
Practice Address - Phone:770-834-0751
Practice Address - Fax:770-834-0753
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS 139202085R0202X
GA0667932085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology