MEDICARE: ASHISH D 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	207R00000X	Internal Medicine Physician	ME134881	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	:	1851779565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHISH D PATEL M.D.

Provider Business Mailing Address
First Line	:	7153 SUMMERLAKE GROVES ST
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-3247
Country	:	US
Telephone Number	:	256-468-4123
Fax Number	:

Provider Business Practice Location Address
First Line	:	10000 W COLONIAL DR
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-3499
Country	:	US
Telephone Number	:	407-296-1000
Fax Number	:

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

Provider Enumeration Date	:	05/13/2015
Last Update Date	:	06/26/2023

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