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NPI Code Detail

MEDICARE: NISHKA PATEL

MEDICARE:   NISHKA  PATEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN24250FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134788367
Entity Type Code : Individual
Provider Name (Legal Business Name) : NISHKA PATEL
Provider Business Mailing Address
First Line : 1515 S NOVA RD
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-5815
Country : US
Telephone Number : 386-947-9318
Fax Number : 386-267-6043
Provider Business Practice Location Address
First Line : 1515 S NOVA RD
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-5815
Country : US
Telephone Number : 386-947-9318
Fax Number : 386-267-6043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2019
Last Update Date : 06/11/2019

Similar Medicare Providers

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1376285742 — DR. ANTHONY TAWADROUS
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Practice Location Address:
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1043262637 — DR. CHARLES E GRIFF M.D., P.A.
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Directions to “ NISHKA PATEL ” Practice Location

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