SAMIP PRAKASH PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143435

License Status

ACTIVE

Business

Title

First Name

SAMIP

Middle

PRAKASH

Last Name

PATEL

Business Name

SAMIP PRAKASH PATEL MD

Original Issue Date

06/09/2017

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

LAWRENCEVILLE

State

Zip

30043

Ever Disciplined

LastModifiedDate

08/28/2023