Healthcare Provider Details

I. General information

NPI: 1457039919
Provider Name (Legal Business Name): NOMAD MEDICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 W 34TH ST FL 8
NEW YORK NY
10001-3030
US

IV. Provider business mailing address

802 E WHITING ST STE 14
TAMPA FL
33602-4136
US

V. Phone/Fax

Practice location:
  • Phone: 212-970-2273
  • Fax:
Mailing address:
  • Phone: 212-970-2273
  • Fax: 866-582-2948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RAVI PATEL
Title or Position: OWNER/MEDICAL DIRECTOR
Credential: DO
Phone: 812-878-0070