MEDICARE: BHIRU PATEL-ELIO 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	207Q00000X	Family Medicine Physician	ME107547	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	:	1245530443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHIRU PATEL-ELIO M.D.

Provider Business Mailing Address
First Line	:	11200 SEMINOLE BLVD STE 210
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33778-3239
Country	:	US
Telephone Number	:	727-319-8900
Fax Number	:	727-319-8700

Provider Business Practice Location Address
First Line	:	11200 SEMINOLE BLVD STE 210
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33778-3239
Country	:	US
Telephone Number	:	727-319-8900
Fax Number	:	727-319-8700

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

Provider Enumeration Date	:	10/22/2010
Last Update Date	:	09/16/2022

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Directions to “ BHIRU PATEL-ELIO M.D.” Practice Location

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