Provider Demographics
NPI:1912358466
Name:PATEL, SHREE
Entity Type:Individual
Prefix:DR
First Name:SHREE
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 COLONIAL HOMES DR NW
Mailing Address - Street 2:UNIT 2210
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1245
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:214 COLONIAL HOMES DRIVE NW
Practice Address - Street 2:UNIT 2110
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1245
Practice Address - Country:US
Practice Address - Phone:813-598-5864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT006391225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics