MEDICARE: SANGEETA PATI M.D., FACOG

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
1	175L00000X	Homeopath	ME87998	FL

General Provider Information

NPI Number	:	1174576631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANGEETA PATI M.D., FACOG

Provider Business Mailing Address
First Line	:	954 LAKE BALDWIN LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32814-6651
Country	:	US
Telephone Number	:	407-478-9797
Fax Number	:	407-478-9798

Provider Business Practice Location Address
First Line	:	954 LAKE BALDWIN LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32814-6651
Country	:	US
Telephone Number	:	407-478-9797
Fax Number	:	407-478-9798

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	05/04/2020

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