Ekta Gaurang Patel, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002552 Issued in GA

Practice address

400 Barrett Pkwy
297
Kennesaw, GA 30144-4917

Phone

(770) 421-1734

Fax

(770) 421-0319

NPI assigned

Jan 8, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1073843355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BARRETT PKWY",
            "address_2": "297",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444917",
            "telephone_number": "770-421-1734",
            "fax_number": "770-421-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BARRETT PKWY",
            "address_2": "297",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444917",
            "telephone_number": "770-421-1734",
            "fax_number": "770-421-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "EKTA",
        "middle_name": "GAURANG",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amisha Patel, MD
• Anjali Patel
• Bhavika Rajanikant Patel, M.D.
• Bhumi Patel, OD
• Chirag Patel
• Ketan Bipinchandra Patel, MD
• Keyurkumar Patel, RPH
• Megha Patel, DO
• Monika Patel
• Ria Patel

• Optometrist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.