MEDICARE: MRS. FALGUNI S PATEL D.O.

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	2085R0202X	Diagnostic Radiology Physician	OS12744	FL

General Provider Information

NPI Number	:	1760649248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FALGUNI S PATEL D.O.

Provider Business Mailing Address
First Line	:	101 W BEACH PL
Second Line	:	APARTMENT 1503
City	:	TAMPA
State	:	FL
Zip	:	33606-2334
Country	:	US
Telephone Number	:	516-641-7867
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 W BEACH PL
Second Line	:	APARTMENT 1503
City	:	TAMPA
State	:	FL
Zip	:	33606-2334
Country	:	US
Telephone Number	:	516-641-7867
Fax Number	:

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

Provider Enumeration Date	:	05/21/2008
Last Update Date	:	08/04/2015

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