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NPI Code Detail

MEDICARE: DR. PANKAJ J PATEL M.D.

MEDICARE: DR. PANKAJ J PATEL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianME87907FL

General Provider Information

NPI Number : 1053374256
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PANKAJ J PATEL M.D.
Provider Business Mailing Address
First Line : 3581 S HIGHLANDS AVE
Second Line :
City : SEBRING
State : FL
Zip : 33870-5410
Country : US
Telephone Number : 863-385-5129
Fax Number : 863-385-7162
Provider Business Practice Location Address
First Line : 3581 S HIGHLANDS AVE
Second Line :
City : SEBRING
State : FL
Zip : 33870-5410
Country : US
Telephone Number : 863-385-5129
Fax Number : 863-385-7162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 02/28/2013

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