Healthcare Provider Details

I. General information

NPI: 1992231393
Provider Name (Legal Business Name): PRIYA PATEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2017
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9325 GLADES RD
BOCA RATON FL
33434-3988
US

IV. Provider business mailing address

9325 GLADES RD
BOCA RATON FL
33434-3988
US

V. Phone/Fax

Practice location:
  • Phone: 561-869-6800
  • Fax:
Mailing address:
  • Phone: 561-302-7742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35.143453
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberME167348
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: