Individual ProviderSuhel PatelInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address743 Spring St NE, Gainesville, GA 30501-3715(770) 219-6000(770) 219-8420PECOS EnrollmentBased on the most recent information from CMS, provider Suhel Patel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1033242680Provider TypeIndividualFull NamePatel, SuhelCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/13/2007Last Updated10/22/2020Contact InformationPractice LocationPractice Address743 Spring St NE, Gainesville, GA 30501-3715Phone(770) 219-6000FaxUnlisted FaxMailing LocationMailing AddressPO Box 742616, Atlanta, GA 30374-2616Phone(770) 219-8420FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense075115GeorgiaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseM2006TexasProvider IdentifiersIDDescriptionIssuerID8V4150DescriptionOtherIssuerBCBS BILLINGTexasID176334403DescriptionMedicaidIssuerUnlistedTexas