| Shivani Healthcare Of Georgia Llc | |
|
4090 Pineset Dr Alpharetta GA 30022-4969 | |
| (908) 489-0888 | |
| (770) 695-0400 |
| Full Name | Shivani Healthcare Of Georgia Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4090 Pineset Dr, Alpharetta, Georgia |
| Authorized Official Name and Position | Panchshil M Patel (ORGANIZER) |
| Authorized Official Contact | 9084890888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shivani Healthcare Of Georgia Llc 4090 Pineset Dr Alpharetta GA 30022-4969 Ph: (908) 489-0888 | Shivani Healthcare Of Georgia Llc 4090 Pineset Dr Alpharetta GA 30022-4969 Ph: (908) 489-0888 |
| NPI Number | 1720445083 |
|---|---|
| Provider Enumeration Date | 01/18/2016 |
| Last Update Date | 01/21/2016 |
| Medicare PECOS PAC ID | 8729383526 |
|---|---|
| Medicare Enrollment ID | O20160216001048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720445083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 60229 (Georgia) | Primary |
| Provider Name | Panchshil M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194905471 PECOS PAC ID: 0547345985 Enrollment ID: I20080311000098 |
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