Organization Active NPI

Mukesh R Patel MD PC

  • Urology Physician
  • Snellville, GA
National Provider Identifier
1356461818
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MUKESH R PATEL MD PC
Practice address
1800 Tree LN
Suite 160
Snellville, GA 30078-2016
Phone
(770) 979-9966
Fax
(770) 978-2695
NPI assigned
Mar 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mukesh R Patel, MD
Title
President
Phone
(770) 979-9966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

1800 Tree LN
Suite 160
Snellville, GA 30078-2016

Mailing address

1800 Tree LN
Site 160
Snellville, GA 30078-2016
Phone (770) 979-9966

National Provider Directory

National Provider Directory

Locations

1800 Tree Ln
Ste 160
Snellville, GA 30078
Phone (770) 979-9966

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356461818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 TREE LN",
            "address_2": "SITE 160",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782016",
            "telephone_number": "770-979-9966",
            "fax_number": "770-978-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TREE LN",
            "address_2": "SUITE 160",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782016",
            "telephone_number": "770-979-9966",
            "fax_number": "770-978-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKESH R PATEL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-979-9966",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.