Champak Patel is a Legal Medicine based in Lilburn, GA. Champak Patel practices in Braselton, GA and has the professional credentials of MD. The NPI Number for Champak Patel is 1073585782 and holds a License No. 123503 (Georgia).
The current practice location address for Champak Patel is 5196 Hwy 53, Braselton, GA and can be reached out via phone at 706-824-9929 and via fax at 706-654-9373.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000411428001 | 01 | NY | BLUE SHIELD |
| 00525411 | 05 | NY | |
| 75786IM | 01 | NY | GHI |
| 11136 | 01 | NY | MVP |
| 141618275 | 01 | NY | TAX ID |
| 349351 | 01 | NY | EMPIRE |
| 554972145A | 05 | GA |
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