person
Champak Patel, MD
Legal Medicine in Braselton, Georgia
NPI 1073585782

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.

Location: 5196 Hwy 53, Braselton, GA, 30047
person
Provider Profile Details
NPI Number
1073585782
Provider Name
Champak Patel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5196 Hwy 53, Braselton, GA, 30047
Phone Number
706-824-9929
Fax Number
706-654-9373
Provider Enumeration Date
02/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
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
institution
Provider Business Practice Location Address Details
Address
5196 Hwy 53
City
State
Zip
30517
Phone Number
706-824-9929
Fax Number
706-654-9373
person
Provider Business Mailing Address Details
Address
5196 Hwy 53
City
State
Zip
30517
Phone Number
706-824-9929
Fax Number
706-654-9373
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Legal Medicine
Speciality
-
Taxonomy
License No.
059888 (Georgia)
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
License No.
123503 (New York)
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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