MEDICARE: DR. NIRAJ V 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	207V00000X	Obstetrics & Gynecology Physician	ME 95114	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01620176	OTHER	FL	R&R MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1326087610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIRAJ V PATEL M.D

Provider Business Mailing Address
First Line	:	38135 MARKET SQ
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-7505
Country	:	US
Telephone Number	:	813-528-4975
Fax Number	:

Provider Business Practice Location Address
First Line	:	14014 N 46TH ST STE C
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-4018
Country	:	US
Telephone Number	:	813-284-2229
Fax Number	:	813-377-1681

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	08/27/2021

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