MEDICARE: NILESH PATEL MD

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	207L00000X	Anesthesiology Physician	25MA04383800	NJ
2	207L00000X	Anesthesiology Physician	ME95543	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821095209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NILESH PATEL MD

Provider Business Mailing Address
First Line	:	3 WOODS RD
Second Line	:
City	:	WEST LONG BRANCH
State	:	NJ
Zip	:	07764-1126
Country	:	US
Telephone Number	:	732-229-3044
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 TAMPA GENERAL CIR
Second Line	:	SUITE A327
City	:	TAMPA
State	:	FL
Zip	:	33606-3571
Country	:	US
Telephone Number	:	813-844-4396
Fax Number	:	813-844-4972

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	12/14/2009

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Directions to “ NILESH PATEL MD” Practice Location

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