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NPI Code Detail

MEDICARE: ISHWER PATEL D.O.

MEDICARE:   ISHWER  PATEL  D.O.
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
1207R00000XInternal Medicine Physician5101023359MI
2208M00000XHospitalist PhysicianOS17398FL

General Provider Information

NPI Number : 1447787759
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISHWER PATEL D.O.
Provider Business Mailing Address
First Line : PO BOX 25290
Second Line :
City : MIAMI
State : FL
Zip : 33102-5290
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8130 LAKEWOOD MAIN ST STE 103
Second Line :
City : LAKEWOOD RANCH
State : FL
Zip : 34202-5068
Country : US
Telephone Number : 415-539-2868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2017
Last Update Date : 04/17/2023

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Directions to “ ISHWER PATEL D.O.” Practice Location

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