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NPI Code Detail

MEDICARE: VIJAY PATEL

MEDICARE: VIJAY PATEL
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
11223G0001XGeneral Practice DentistryDN17710FL

General Provider Information

NPI Number : 1528160272
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIJAY PATEL
Provider Business Mailing Address
First Line : 19007 BRUCE B DOWNS BLVD
Second Line : SUITE B
City : TAMPA
State : FL
Zip : 33647-2475
Country : US
Telephone Number : 813-406-4947
Fax Number :
Provider Business Practice Location Address
First Line : 19007 BRUCE B DOWNS BLVD
Second Line : SUITE B
City : TAMPA
State : FL
Zip : 33647-2475
Country : US
Telephone Number : 813-406-4947
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2006
Last Update Date : 12/31/2011

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Directions to “ VIJAY PATEL ” Practice Location

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