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NPI Code Detail

MEDICARE: DR. KEVAT B PATEL MD

MEDICARE:  DR. KEVAT B 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
1208M00000XHospitalist PhysicianME141709FL
2207R00000XInternal Medicine PhysicianME141709FL

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 : 1487181590
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVAT B PATEL MD
Provider Business Mailing Address
First Line : 250 HARRISON ST
Second Line :
City : TITUSVILLE
State : FL
Zip : 32780-5094
Country : US
Telephone Number : 321-268-6868
Fax Number : 646-809-8931
Provider Business Practice Location Address
First Line : 250 HARRISON ST
Second Line :
City : TITUSVILLE
State : FL
Zip : 32780-5094
Country : US
Telephone Number : 321-268-6868
Fax Number : 321-267-2713
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2017
Last Update Date : 06/17/2024

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Directions to “ DR. KEVAT B PATEL MD” Practice Location

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