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NPI Code Detail

MEDICARE: KAIWAL SHASHIKANT PATEL MD

MEDICARE: KAIWAL SHASHIKANT 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
1207LP2900XPain Medicine (Anesthesiology) PhysicianME167197FL
2207L00000XAnesthesiology PhysicianME167197FL

General Provider Information

NPI Number : 1295391209
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAIWAL SHASHIKANT PATEL MD
Provider Business Mailing Address
First Line : 5050 S FLORIDA AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33813-2501
Country : US
Telephone Number : 973-590-8357
Fax Number :
Provider Business Practice Location Address
First Line : 5050 S FLORIDA AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33813-2501
Country : US
Telephone Number : 973-590-8357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2019
Last Update Date : 03/04/2026

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Directions to “ KAIWAL SHASHIKANT PATEL MD” Practice Location

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