Provider Demographics
NPI:1851951685
Name:PATEL, RONAK (ND)
Entity Type:Individual
Prefix:DR
First Name:RONAK
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5097 PEACHTREE RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341-3137
Mailing Address - Country:US
Mailing Address - Phone:860-212-7720
Mailing Address - Fax:
Practice Address - Street 1:200 SANDY SPRINGS PL STE 200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5917
Practice Address - Country:US
Practice Address - Phone:404-255-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0128366175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath