Provider Demographics
NPI:1114185071
Name:PATEL, ZALAK RAMANLAL (MBBS MD)
Entity type:Individual
Prefix:
First Name:ZALAK
Middle Name:RAMANLAL
Last Name:PATEL
Suffix:
Gender:F
Credentials:MBBS MD
Other - Prefix:
Other - First Name:ZALAK
Other - Middle Name:RAMAN
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MBBS MD
Mailing Address - Street 1:620 ARCHARD DR
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-7058
Mailing Address - Country:US
Mailing Address - Phone:305-608-8389
Mailing Address - Fax:
Practice Address - Street 1:1120 15TH ST
Practice Address - Street 2:BI 2144
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0004
Practice Address - Country:US
Practice Address - Phone:305-608-8389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA70397207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology