| Dipak B Patel, MD | |
|
4700 Nelson Brogdon Blvd, Ste 180, Sugarhill, GA 30518-5400 | |
| (770) 945-7676 | |
| (770) 932-9845 |
| Full Name | Dipak B Patel |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 4700 Nelson Brogdon Blvd, Sugarhill, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407849524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 048174 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Guardian Home Care Of Northeast Georgia | Gainesville, GA | Home health agency |
| Central Home Health Care, An Amedisys Company | Tucker, GA | Home health agency |
| Northside Hospital Forsyth | Cumming, GA | Hospital |
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dipak B Patel Md Llc | 5496828071 | 2 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Entity Name | Dipak B Patel Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407977457 PECOS PAC ID: 5496828071 Enrollment ID: O20080715000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Dipak B Patel, MD 4700 Nelson Brogdon Blvd, Ste 180, Sugarhill, GA 30518-5400 Ph: (770) 945-7676 | Dipak B Patel, MD 4700 Nelson Brogdon Blvd, Ste 180, Sugarhill, GA 30518-5400 Ph: (770) 945-7676 |
Miss Kela Yvette Henry, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 4585 Nelson Brogdon Blvd, Sugarhill, GA 30518 Phone: 770-932-0547 Fax: 770-932-4035 | |
Mr. Richard John Liotta, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4585 Nelson Brogdon Blvd, Sugarhill, GA 30518 Phone: 770-932-0547 Fax: 770-932-4035 |