Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ravi Patel

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245762103

Ravi Patel is a Dermatology in Lawrenceville, Georgia. Qualified in 2017, 9 years ago. Accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
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Practice location Address checks out

665 Duluth Hwy Ste 401
Lawrenceville, GA 30046-8709
Phone: (706) 676-4836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1245762103
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2017
Last updated in NPPESMarch 30, 2017
Mailing addressPo Box 1190, Lawrenceville, GA 30046-1190

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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