MEDICARE: BHAGWAT 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
1	207RN0300X	Nephrology Physician	ME99468	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1225064009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHAGWAT PATEL M.D.

Provider Business Mailing Address
First Line	:	5880 49TH ST N STE 202
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-2147
Country	:	US
Telephone Number	:	727-527-2400
Fax Number	:	727-527-3009

Provider Business Practice Location Address
First Line	:	5880 49TH ST N STE 202
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-2147
Country	:	US
Telephone Number	:	727-527-2400
Fax Number	:	727-527-3009

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

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	10/16/2025

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