Indira Ashok Patel, LICENSED PHYSICAL TH

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT002755 Issued in GA

Practice address

2839 Hidden Falls Drive
Buford, GA 30519

Phone

(770) 904-5903

NPI assigned

Sep 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Indira Ashokicumar Patel Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1649552134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 HIDDEN FALLS DRIVE",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "30519",
            "telephone_number": "770-904-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 HIDDEN FALLS DRIVE",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "30519",
            "telephone_number": "770-904-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "INDIRA",
        "middle_name": "ASHOK",
        "name_prefix": "Mrs.",
        "credential": "LICENSED PHYSICAL TH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "PT002755",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "00700003106",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INDIRA",
            "last_name": "PATEL",
            "middle_name": "ASHOKICUMAR",
            "prefix": "MRS.",
            "credential": "LICENSED PHYSICAL TH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anisha Patel, M.S.
• Ankit Patel
• Ashish Patel
• Dena Patel, FNP
• Dhara Patel, OD
• Isha Patel, DPT
• Nimisha Patel, D.D.S
• Priya Milen Patel, DMD
• Priyanka J Patel, DDS
• Raj Patel

• Physical Medicine & Rehabilitation Physician in Buford, GA
• Providers in Buford, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.