MEDICARE: DR. DINESH D 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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME55622	FL
2	207RP1001X	Pulmonary Disease Physician	ME55622	FL
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician	ME55622	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	:	1225094527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DINESH D PATEL MD

Provider Business Mailing Address
First Line	:	7807 BAYMEADOWS RD E
Second Line	:	SUITE 209
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-9666
Country	:	US
Telephone Number	:	904-565-9270
Fax Number	:	904-567-3058

Provider Business Practice Location Address
First Line	:	7807 BAYMEADOWS RD E
Second Line	:	SUITE 209
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-9666
Country	:	US
Telephone Number	:	904-565-9270
Fax Number	:	904-567-3058

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

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	03/03/2014

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