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NPI Code Detail

MEDICARE: SHAMMI A PATEL DO

MEDICARE: SHAMMI A PATEL DO
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
1208100000XPhysical Medicine & Rehabilitation PhysicianOS21002FL
2390200000XStudent in an Organized Health Care Education/Training Program000000000
3208VP0000XPain Medicine PhysicianOS21002FL

General Provider Information

NPI Number : 1154825289
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAMMI A PATEL DO
Provider Business Mailing Address
First Line : 419 SW 15TH AVE
Second Line : STE 203
City : OCALA
State : FL
Zip : 32608
Country : US
Telephone Number : 305-814-7246
Fax Number : 352-517-8952
Provider Business Practice Location Address
First Line : 310 N L ROGERS WELLS BLVD
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1300
Country : US
Telephone Number : 270-659-5990
Fax Number : 270-659-5947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2018
Last Update Date : 06/01/2026

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Directions to “ SHAMMI A PATEL DO” Practice Location

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