MEDICARE: MAHESH PATEL MDPA

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	174400000X	Specialist	ME0050436	FL

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

General Provider Information

NPI Number	:	1700041316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAHESH PATEL MDPA

Provider Business Mailing Address
First Line	:	403 E. MARTIN LUTHER KING JR. BLVD.
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-3805
Country	:	US
Telephone Number	:	813-224-9025
Fax Number	:	813-223-1545

Provider Business Practice Location Address
First Line	:	403 E. MARTIN LUTHER KING JR. BLVD.
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-3805
Country	:	US
Telephone Number	:	813-224-9025
Fax Number	:	813-223-1545

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. MAHESH PATEL
Credential	:	M.D., P.A
Telephone Number	:	813-224-9025

Provider Enumeration Date	:	07/23/2008
Last Update Date	:	04/30/2012

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Directions to “MAHESH PATEL MDPA ” Practice Location

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