Champak Patel is a Legal Medicine in Lilburn, Georgia. Champak Patel practices all healthcare services and medical treatments related to Legal Medicine. The NPI Number for Champak Patel is 1073585782. The last update date is 2008-06-12.
Champak Patel's current location address is 455 Beaver Ruin Rd, Lilburn, Georgia. You can contact this provider via phone number 7709237778 and fax number 7708061383. The mailing address for Champak Patel is 455 Beaver Ruin Rd, Lilburn, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Champak Patel |
|---|---|
| Address | 455 Beaver Ruin Rd, Lilburn, Georgia |
| Phone Number | 7709237778 |
| Fax Number | 7708061383 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073585782 |
|---|---|
| Provider Enumeration Date | 2006-02-06 |
| Last Updated Date | 2008-06-12 |
Provider Mailing Address Detail
| Address | 455 Beaver Ruin Rd |
|---|---|
| City | Lilburn |
| State | Georgia (GA) |
| Post Code | 30047 |
| Phone Number | 7709237778 |
| Fax Number | 7708061383 |
Provider's Primary Taxonomy Detail
| Speciality | Legal Medicine |
|---|---|
| Taxonomy | 173000000X |
| Licence No | 59888 |
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Definition: The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judici |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 411428001 | NY | BLUE SHIELD | |
| 525411 | NY | -- | |
| 75786IM | NY | GHI | |
| 11136 | NY | MVP | |
| 141618275 | NY | TAX ID | |
| 349351 | NY | EMPIRE | |
| 554972145A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Champak Patel by the Centers for Medicare & Medicaid Services?
The Champak Patel has been assigned the NPI (National Provider Identifier) 1073585782. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Champak Patel?
The Champak Patel is physically situated at 455 Beaver Ruin Rd, in the city of Lilburn, state of GA, with the postal code 30047.
What is Champak Patel's area of expertise and its corresponding taxonomy classification?
The Champak Patel's field of specialization is Legal Medicine, and it falls under the taxonomy code 173000000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1073585782 assigned to Champak Patel?
The Champak Patel was issued its 1073585782 on 2006-02-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Champak Patel's information last updated?
The Champak Patel's information was last updated on 2008-06-12.