MEDICARE: DIPTI Y. PATEL M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D66807	MD
2	207R00000X	Internal Medicine Physician	C55072	CA
3	208M00000X	Hospitalist Physician	ME134188	FL

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	039274	OTHER	PA	JOHNS HOPKINS
2	1561829	OTHER	PA	GATEWAY-WMG
3	1963013	OTHER	PA	HIGHMARK BLUE SHIELD
4	2842700000	OTHER	PA	AMERIHEALTH 65PA
5	7422957	OTHER	PA	AETNA
6	109231	OTHER	PA	GEISINGER
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	897634	OTHER	MD	CAREFIRST MD BCBS
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1891915070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIPTI Y. PATEL M.D.

Provider Business Mailing Address
First Line	:	4504 W DALE AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-3709
Country	:	US
Telephone Number	:	732-713-4479
Fax Number	:

Provider Business Practice Location Address
First Line	:	203 N MARION ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-4914
Country	:	US
Telephone Number	:	813-384-8796
Fax Number	:	813-540-6025

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

Provider Enumeration Date	:	04/27/2007
Last Update Date	:	05/19/2024