Healthcare Provider Details

I. General information

NPI: 1346504123
Provider Name (Legal Business Name): MEHUL SUMAN PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2012
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29498 TORICELLI RD
WESLEY CHAPEL FL
33543-2248
US

IV. Provider business mailing address

29498 TORICELLI RD
WESLEY CHAPEL FL
33543-2248
US

V. Phone/Fax

Practice location:
  • Phone: 570-677-4001
  • Fax:
Mailing address:
  • Phone: 813-820-1724
  • Fax: 888-977-1998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT202866
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME127494
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME127494
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD456335
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: