MEDICARE: HITESH 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	207RH0000X	Hematology (Internal Medicine) Physician	ME59034	FL
2	207RX0202X	Medical Oncology Physician	ME59034	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00896068	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	18690	OTHER		BLUE CROSS / BLUE SHIELD
3	830005041	OTHER	FL	RR PROVIDER #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831191246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HITESH PATEL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 102222
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-2222
Country	:	US
Telephone Number	:	239-274-8200
Fax Number	:	239-278-3350

Provider Business Practice Location Address
First Line	:	400 PINELLAS ST
Second Line	:	SUITE 300
City	:	CLEARWATER
State	:	FL
Zip	:	33756-3312
Country	:	US
Telephone Number	:	727-447-8100
Fax Number	:	727-461-2603

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	08/11/2022

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

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