CHAMPAK PATEL MD
NPI 1073585782
Internal Medicine, Pulmonary Disease in Lilburn,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 6, 2006

Contact Information

455 Beaver Ruin Rd
Lilburn,
Post Code: 30047
Phone: (770) 923-7778
Fax: (770) 806-1383

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Champak Patel Md in Lilburn - Internal Medicine, Pulmonary Disease

Champak Patel Md is a Internal Medicine, Pulmonary Disease in Lilburn, . Champak Patel Md practices all healthcare services and medical treatments related to Internal Medicine, Pulmonary Disease. The NPI Number for Champak Patel Md is 1073585782. The last update date is 2008-06-12.

Champak Patel Md's current location address is 455 Beaver Ruin Rd, Lilburn, . You can contact this provider via phone number (770) 923-7778 and fax number (770) 806-1383. The mailing address for Champak Patel Md is 455 Beaver Ruin Rd, Lilburn, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1073585782
Provider Name
CHAMPAK PATEL MD
Gender
Male
Entity Type
Individual
Location Address
455 Beaver Ruin Rd, Lilburn,
Location Phone
(770) 923-7778
Location Fax
(770) 806-1383
Mailing Address
5196 Hwy 53, Braselton, Georgia(GA)
Mailing Phone
706-824-9929
Mailing Fax
706-654-9373
Enumeration Date
2006-02-06
Last Update Date
2008-06-12
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Legal Medicine

Taxonomy Code
173000000X
Type
-
License No.
059888
License State
Georgia (GA)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207RP1001X Pulmonary Disease Physician

Internal Medicine, Pulmonary Disease

123503 (New York)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000411428001 Other (non-Medicare) (01) New York (NY) blue shield
00525411 MEDICAID (05) New York (NY)
11136 Other (non-Medicare) (01) New York (NY) MVP
141618275 Other (non-Medicare) (01) New York (NY) tax id
349351 Other (non-Medicare) (01) New York (NY) Empire
554972145A MEDICAID (05) Georgia (GA)
75786IM Other (non-Medicare) (01) New York (NY) GHI

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073585782
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2014310810716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2014310810716
2 + 0 + 1 + 4 + 3 + 1 + 0 + 8 + 1 + 0 + 7 + 1 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2 2

The NPI number 1073585782 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063415016 D HODARI BROOKS
Individual
Orthopaedic Surgery 1700 HOSPITAL SOUTH DR STE 502
AUSTELL, Georgia (GA)
943-202-7070
1063415081 FRANK ARTHUR BIXLER
Individual
- 15 YARBROUGH ST
HAZLEHURST, Georgia (GA)
912-375-0755
1043213176 MATTHEY T HARRIS
Individual
Internal Medicine, Endocrinology, Diabetes & Metabolism 1240 JESSE JEWELL PKWY SE
GAINESVILLE, Georgia (GA)
770-536-9864
1033112040 KEITH A. LAMBERSON
Individual
Orthopaedic Surgery, Sports Medicine 900 CIRCLE 75 PKWY SE
ATLANTA, Georgia (GA)
770-953-6929
1003819111 JAMES D JACKSON
Individual
Internal Medicine PO BOX 742616
ATLANTA, Georgia (GA)
770-219-8420