MEDICARE: JANAK 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	207Q00000X	Family Medicine Physician	RL15160	ND
2	207Q00000X	Family Medicine Physician	ME168959	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1932693421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANAK PATEL MD

Provider Business Mailing Address
First Line	:	2995 DREW ST FL 2
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-3012
Country	:	US
Telephone Number	:	727-281-9065
Fax Number	:

Provider Business Practice Location Address
First Line	:	4541 S DALE MABRY HWY STE 100
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-1407
Country	:	US
Telephone Number	:	813-553-7030
Fax Number	:	813-605-6059

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

Provider Enumeration Date	:	06/18/2018
Last Update Date	:	11/04/2024

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Directions to “ JANAK PATEL MD” Practice Location

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