MEDICARE: MAHESH R PATEL MD, PA

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	174400000X	Specialist	ME50436	FL
2	208800000X	Urology Physician	ME50436	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	:	1235133208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAHESH R PATEL MD, PA

Provider Business Mailing Address
First Line	:	403 E DR MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-3805
Country	:	US
Telephone Number	:	813-244-9025
Fax Number	:	813-223-1545

Provider Business Practice Location Address
First Line	:	403 E DR MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-3805
Country	:	US
Telephone Number	:	813-244-9025
Fax Number	:	813-223-1545

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

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	08/09/2024

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Directions to “ MAHESH R PATEL MD, PA” Practice Location

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