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1407841521

NPI Code Detail

MEDICARE: SHAILESH J PATEL MD

MEDICARE: SHAILESH J 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
1	207RH0003X	Hematology & Oncology Physician	24241	AL
2	207RH0003X	Hematology & Oncology Physician	ME71816	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01428449	OTHER	FL	RR MEDICARE
5	E5565Y	OTHER	FL	MEDICARE PTAN
9	102I835954	OTHER	AL	MEDICARE PTAN

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
2	7666255	OTHER	FL	AETNA
4	373457	OTHER	FL	AVMED
6	1355791	OTHER	FL	CIGNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	200595	OTHER	FL	WELLCARE

General Provider Information

NPI Number	:	1407841521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAILESH J PATEL MD

Provider Business Mailing Address
First Line	:	4724 N DAVIS HWY
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32503-2339
Country	:	US
Telephone Number	:	850-696-4000
Fax Number	:	850-444-7057

Provider Business Practice Location Address
First Line	:	4724 N DAVIS HWY
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32503-2339
Country	:	US
Telephone Number	:	850-696-4000
Fax Number	:	850-444-7057

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

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	07/27/2016

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Directions to “ SHAILESH J PATEL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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