DIPA KETAN PATEL MSN AGACNP-BC NP-C NPI 1033525415

NPI Information

NPI: 1033525415
Provider Name: DIPA KETAN PATEL, MSN, AGACNP-BC, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
758 OLD NORCROSS RD STE 100
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 962-4300
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Dipa Ketan Patel, MSN, AGACNP-BC, NP-C is a family nurse practitioner in Lawrenceville, GA with 9 years of experience. Dipa Ketan Patel, MSN, AGACNP-BC, NP-C NPI is 1033525415. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

758 OLD NORCROSS RD STE 100
LAWRENCEVILLE, GA
ZIP 30046-386
Phone: (770) 962-4300
Fax: (770) 339-7544

The NPI 1033525415 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2014 and was last updated on 3/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		213386	GEORGIA	No
2	363LF0000X	Nurse Practitioner	Family	RN213386	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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