| Amita N Patel Md | |
|
1542 N Medical Park Dr # 1 Greenville MS 38703-7239 | |
| (662) 334-6448 | |
| (662) 334-6461 |
| Full Name | Amita N Patel Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 1542 N Medical Park Dr # 1, Greenville, Mississippi |
| Authorized Official Name and Position | Amita N Patel (PRESIDENT OWNER) |
| Authorized Official Contact | 6623346448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amita N Patel Md 1542 N Medical Park Dr # 1 Po Box 4716 Greenville MS 38703-7239 Ph: (662) 334-6448 | Amita N Patel Md 1542 N Medical Park Dr # 1 Greenville MS 38703-7239 Ph: (662) 334-6448 |
| NPI Number | 1487603510 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 08/15/2007 |
| Medicare PECOS PAC ID | 6800977539 |
|---|---|
| Medicare Enrollment ID | O20080118000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487603510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
| Provider Name | Yashwant M Chowdhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164583001 PECOS PAC ID: 5991725277 Enrollment ID: I20070326000534 |
| Provider Name | Amita N Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417149253 PECOS PAC ID: 6002720281 Enrollment ID: I20080118000292 |
| Provider Name | Mary Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568848299 PECOS PAC ID: 4385952563 Enrollment ID: I20151008000653 |
| Provider Name | Patricia A Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861843690 PECOS PAC ID: 1254610983 Enrollment ID: I20161119000335 |
| Provider Name | Lesley Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609380880 PECOS PAC ID: 5193064384 Enrollment ID: I20190306000813 |
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