Provider Demographics
NPI:1710869714
Name:PATEL, NIRALI ANKIT (MED)
Entity type:Individual
Prefix:
First Name:NIRALI
Middle Name:ANKIT
Last Name:PATEL
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 GLENWOOD AVE SE UNIT 3151
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-1945
Mailing Address - Country:US
Mailing Address - Phone:832-525-6401
Mailing Address - Fax:
Practice Address - Street 1:17 EXECUTIVE PARK DR NE STE 150
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-2220
Practice Address - Country:US
Practice Address - Phone:770-726-9589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health