CHAMPAK PATEL MD
NPI 1073585782
Legal Medicine in Braselton, GA

Q: 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.

Q: What is Champak Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Champak Patel was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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

Phone(706) 824-9929

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

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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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.