MEDICARE: ROHIT MAGANLAL PATEL MD

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
1	207R00000X	Internal Medicine Physician	ME0059700	FL

General Provider Information

NPI Number	:	1164404299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROHIT MAGANLAL PATEL MD

Provider Business Mailing Address
First Line	:	PO BOX 153155
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33684-3155
Country	:	US
Telephone Number	:	727-734-9004
Fax Number	:	727-734-1808

Provider Business Practice Location Address
First Line	:	3709 W HAMILTON AVE
Second Line	:	SUITE 7
City	:	TAMPA
State	:	FL
Zip	:	33614-4015
Country	:	US
Telephone Number	:	813-931-2500
Fax Number	:	813-931-2533

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	07/08/2007

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