Provider Demographics
NPI:1992963557
Name:PATEL, GAURAV PRAVIN (MD)
Entity type:Individual
Prefix:DR
First Name:GAURAV
Middle Name:PRAVIN
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1364 CLIFTON RD NE
Mailing Address - Street 2:DEPT. OF ANESTHESIOLOGY
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1059
Mailing Address - Country:US
Mailing Address - Phone:404-778-3900
Mailing Address - Fax:404-778-5194
Practice Address - Street 1:1364 CLIFTON RD NE
Practice Address - Street 2:DEPT. OF ANESTHESIOLOGY
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1059
Practice Address - Country:US
Practice Address - Phone:404-778-3900
Practice Address - Fax:404-778-5194
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2012-02-16
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Provider Licenses
StateLicense IDTaxonomies
GA67305207L00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine