MEDICARE: UMANG 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	207Q00000X	Family Medicine Physician	R4887	TX
2	202K00000X	Phlebology Physician	R4887	TX

General Provider Information

NPI Number	:	1710305735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UMANG PATEL M.D.

Provider Business Mailing Address
First Line	:	3820 NORTHDALE BLVD STE 201
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-1893
Country	:	US
Telephone Number	:	800-991-6117
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 BROAD PARK CIR S STE 300
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-7835
Country	:	US
Telephone Number	:	800-991-6117
Fax Number	:

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

Provider Enumeration Date	:	04/07/2014
Last Update Date	:	02/06/2026

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Directions to “ UMANG PATEL M.D.” Practice Location

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