MEDICARE: DR. ROSHAN ASHOKKUMAR 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	207R00000X	Internal Medicine Physician	A135675	CA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	25MA09646900	NJ
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	201501524	NC
4	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME126966	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME126966	OTHER	FL	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518252212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSHAN ASHOKKUMAR PATEL M.D.

Provider Business Mailing Address
First Line	:	10000 W COLONIAL DR STE 394
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-3433
Country	:	US
Telephone Number	:	321-843-1378
Fax Number	:	321-843-5177

Provider Business Practice Location Address
First Line	:	10000 W COLONIAL DR STE 394
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-3433
Country	:	US
Telephone Number	:	321-843-1378
Fax Number	:	321-843-5177

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

Provider Enumeration Date	:	06/10/2011
Last Update Date	:	07/13/2020

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Directions to “ DR. ROSHAN ASHOKKUMAR PATEL M.D.” Practice Location

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