Healthcare Provider Details

I. General information

NPI: 1194793125
Provider Name (Legal Business Name): DINESHKUMAR R. PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DINESHKUMAR R. PATEL MD

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2370 DREW ST STE B PEDIATRIC ASSOCIATES
CLEARWATER FL
33765-3318
US

IV. Provider business mailing address

2370 DREW ST STE B
CLEARWATER FL
33765-3318
US

V. Phone/Fax

Practice location:
  • Phone: 727-461-1543
  • Fax: 727-449-0594
Mailing address:
  • Phone: 727-461-1543
  • Fax: 727-449-0594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME161181
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: