| Doctor Name: | DR. PINECCA J PATEL-RAVAL |
| NPI Number: | 1003012949 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | POD001059 |
| Business Practice Address: | 5830 Bond St Ste 200 Cumming, GA - 300400307 |
| Business Phone Number: | 7704554009 |
| Business Fax Number: | 7704554065 |
| Mailing Address: | 5555 Peachtree Dunwoody Rd Ne, Ste 215 ATLANTA |
| State: | GA |
| Postal Code: | 303421703 |
| Phone Number: | 7704554009 |
| Fax Number: | 7704554065 |
| NPI Enumeration Date: | 06/26/2007 |
| NPI Last Update Date: | 11/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | POD001059 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |