Healthcare Provider Details

I. General information

NPI: 1023212586
Provider Name (Legal Business Name): NEEPA DASHARATHLAL PATEL M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE C-300
MIAMI FL
33136-1005
US

IV. Provider business mailing address

2750 NE 183RD ST APT # 2312
AVENTURA FL
33160-2158
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-6973
  • Fax:
Mailing address:
  • Phone: 786-547-0092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number10766
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: