Provider Demographics
NPI:1316124183
Name:PATEL, PURNIMA SHARAD (MD)
Entity type:Individual
Prefix:DR
First Name:PURNIMA
Middle Name:SHARAD
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1579 MONROE DR NE STE F242
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-5039
Mailing Address - Country:US
Mailing Address - Phone:404-777-2020
Mailing Address - Fax:404-777-7701
Practice Address - Street 1:5185 PEACHTREE PKWY STE 350 AND 365
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-6542
Practice Address - Country:US
Practice Address - Phone:404-777-2020
Practice Address - Fax:404-777-7701
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2021-08-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA61505207WX0107X, 207WX0108X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207WX0108XAllopathic & Osteopathic PhysiciansOphthalmologyUveitis and Ocular Inflammatory Disease