CHAMPAK PATEL MD
NPI 1073585782
Legal Medicine in Braselton, GA

Active since February 06, 2006
5196 HWY 53, BRASELTON, GA 30517(706) 824-9929(706) 654-9373 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Champak Patel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAMPAK PATEL MD (NPI 1073585782) is an individual legal medicine provider in Braselton, Georgia, licensed in Georgia (059888) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1073585782
Entity TypeIndividualMale
Primary Taxonomy173000000X
Provider Legal NameCHAMPAK PATELCredential: MD
Location Address5196 HWY 53Braselton, GA 30517
Mailing Address455 Beaver Ruin RdLilburn, GA 30047 · (770) 923-7778 · Fax (770) 806-1383
Fax(706) 654-9373
Sole ProprietorNo
Enumeration DateFebruary 6, 2006
Last NPPES UpdateJune 12, 2008
NPI 1073585782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License Licensed in GA · 059888
Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 123503 (NY)
5196 HWY 53, Braselton, GA 30517

Other Identifiers 10

Medicare UPIND01911GA
Other11136NY · Mvp
Other141618275NY · Tax Id
Medicaid00525411NY
Other349351NY · Empire
Other000411428001NY · Blue Shield
Other75786IMNY · Ghi
Medicare UPINDO1911NY
Medicare ID-Type Unspecified324238BNY · Medicare
Medicaid554972145AGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Champak Patel's NPI number?

The NPI number for Champak Patel is 1073585782. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Champak Patel located?

Champak Patel practices at 5196 Hwy 53, Braselton, GA 30517. The listed phone number is (706) 824-9929.

What is Champak Patel's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

When was this NPI record last updated?

The NPPES record for Champak Patel was last updated on June 12, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.