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NPI 1467946988

NPI 1467946988 : SOHAM PATEL M.D., P.A. : BRANDON, FL

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General NPI Number Information
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    NPI Number           |    1467946988
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOHAM PATEL M.D., P.A. 
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Dates
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    Enumeration Date     |    06/18/2018
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    Last Update Date     |    07/15/2025
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Provider Practice Location Address
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    Address Line         |    1170 BELL SHOALS RD STE 101 
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    City                 |    BRANDON
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    State                |    FL
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    Zip                  |    33511-9019
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    Country              |    US
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    Telephone            |    813-670-3228
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    Fax                  |    813-463-7972
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Provider Business Mailing Address
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    Address Line         |    1170 BELL SHOALS RD STE 101 
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    City                 |    BRANDON
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    State                |    FL
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    Zip                  |    33511-9019
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    Country              |    US
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    Telephone            |    813-670-3228
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    Fax                  |    813-463-7972
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Authorized Official
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    Title or Position    |    PHYSICIAN/OWNER
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    Name                 |     SOHAM PRAVINKUMAR PATEL 
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    Credential           |    MD
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    Telephone            |    813-670-3228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RE0101X
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    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
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    License Number       |    ME122811
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    License Number State |    FL
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