Suketu J Patel (NPI# 1326185349, PAC ID# 3476722554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1326185349 |
| PAC ID by PECOS | 3476722554 |
| Professional Enrollment ID | I20141120002399 |
| Full Name | Suketu J Patel |
| Organization Legal Name | EAST GEORGIA CENTER FOR ORAL AND FACIAL SURGERY LLC |
| Address |
613 E Grady St Statesboro GA 30458-5104 |
| Phone Number | 9127645435 |
| Gender | M |
| Medical School | UNIV OF PENNSYLVANIA SCHOOL OF DENTAL MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 7113149915 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110075 | EAST GEORGIA REGIONAL MEDICAL CENTER |
| 110076 | DEKALB MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 613 E Grady St, Statesboro, GA 30458-5104 | 9127645435 | EAST GEORGIA CENTER FOR ORAL AND FACIAL SURGERY LLC |
| Organization Legal Name | EAST GEORGIA CENTER FOR ORAL AND FACIAL SURGERY LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodrigo L Uribe | Maxillofacial Surgery | East Georgia Center for Oral and Facial Surgery LLC | 613 E Grady St, Statesboro, GA 30458-5104 |
| Street Address |
613 E GRADY ST |
| City | STATESBORO |
| State | GA |
| Zip | 30458-5104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodrigo L Uribe | Maxillofacial Surgery | East Georgia Center for Oral and Facial Surgery LLC | 613 E Grady St, Statesboro, GA 30458-5104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy O Kitching | Chiropractic | 2 Ed Moore Court, Statesboro, GA 30458 | |
| Samuel D Chapman | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Karen C Penrose | Nurse Practitioner | Sidney P Smith Md PC | 6677 Ga Hwy 67, Statesboro, GA 30458 |
| Elizabeth Hinely | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Andrea B Pitts | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Anuj Goel | Psychiatry | Dps Health and Wellness | 204 S Main St, Statesboro, GA 30458-0723 |
| Deborah Stewart | Nurse Practitioner | Dps Health and Wellness | 204 S Main St, Statesboro, GA 30458-0723 |
| Saraju C Dalsania | Internal Medicine | 1601 Fair Rd, Suite 700, Statesboro, GA 30458-0800 | |
| Stacey C Basquin | Physician Assistant | East Georgia Hma Physician Management LLC | 1601 Fair Rd, Suite 600, Statesboro, GA 30458-0800 |
| Harsh Bhushan | Hematology/oncology | 1601 Fair Rd, Suite 900, Statesboro, GA 30458-0800 | |
| Find all physicians in zip 30458 | |||
| City | STATESBORO |
| Zip Code | 30458 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | STATESBORO + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Suketu J Patel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.