Provider Demographics
NPI:1649808189
Name:PATEL, SHALIN KIRIT (MD)
Entity type:Individual
Prefix:DR
First Name:SHALIN
Middle Name:KIRIT
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3775 ROSWELL RD STE 375
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-8821
Mailing Address - Country:US
Mailing Address - Phone:714-471-6813
Mailing Address - Fax:770-437-6911
Practice Address - Street 1:3775 ROSWELL RD STE 375
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-8821
Practice Address - Country:US
Practice Address - Phone:770-628-1367
Practice Address - Fax:770-437-6911
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2023-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA13053207Q00000X
IL125.076653207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine