Provider Demographics
NPI:1144713959
Name:PATEL, SAGAR ASHWIN (MD)
Entity type:Individual
Prefix:
First Name:SAGAR
Middle Name:ASHWIN
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6228 BRADLEY PARK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-3603
Mailing Address - Country:US
Mailing Address - Phone:706-322-1486
Mailing Address - Fax:
Practice Address - Street 1:6228 BRADLEY PARK DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-3603
Practice Address - Country:US
Practice Address - Phone:706-322-1486
Practice Address - Fax:706-324-3419
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA010071207R00000X
GA96469207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine