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NPI Code Detail

MEDICARE: DR. PRAGNESHKUMAR P PATEL MD

MEDICARE:  DR. PRAGNESHKUMAR P PATEL  MD
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
12084P0800XPsychiatry PhysicianME124740FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104141423
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRAGNESHKUMAR P PATEL MD
Provider Business Mailing Address
First Line : 613 W DR MARTIN LUTHER KING JR BLVD STE 104
Second Line :
City : TAMPA
State : FL
Zip : 33603-3400
Country : US
Telephone Number : 813-587-9911
Fax Number : 833-905-0111
Provider Business Practice Location Address
First Line : 613 W DR MARTIN LUTHER KING JR BLVD STE 104
Second Line :
City : TAMPA
State : FL
Zip : 33603-3400
Country : US
Telephone Number : 813-587-9911
Fax Number : 833-905-0111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2010
Last Update Date : 11/27/2023

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Directions to “ DR. PRAGNESHKUMAR P PATEL MD” Practice Location

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