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NPI Code Detail

MEDICARE: KEYUR PATEL D.O.

MEDICARE: KEYUR PATEL D.O.
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
1207PE0005XUndersea and Hyperbaric Medicine (Emergency Medicine) PhysicianOS015400PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326340555
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEYUR PATEL D.O.
Provider Business Mailing Address
First Line : 2565 N TOLEDO BLADE BLVD UNIT 3
Second Line :
City : NORTH PORT
State : FL
Zip : 34289-9306
Country : US
Telephone Number : 215-307-2355
Fax Number :
Provider Business Practice Location Address
First Line : 2565 N TOLEDO BLADE BLVD UNIT 3
Second Line :
City : NORTH PORT
State : FL
Zip : 34289-9306
Country : US
Telephone Number : 215-307-2355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2010
Last Update Date : 12/19/2022

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Directions to “ KEYUR PATEL D.O.” Practice Location

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