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NPI Code Detail

MEDICARE: MR. MINESH ARUN PATEL MD

MEDICARE: MR. MINESH ARUN 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
1207R00000XInternal Medicine PhysicianME90170FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1297168OTHERFLAVMED
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
301044OTHERFLBCBS

General Provider Information

NPI Number : 1912972589
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MINESH ARUN PATEL MD
Provider Business Mailing Address
First Line : 404 NW HALL OF FAME DR
Second Line :
City : LAKE CITY
State : FL
Zip : 32055-4833
Country : US
Telephone Number : 386-754-3627
Fax Number : 386-754-3657
Provider Business Practice Location Address
First Line : 404 NW HALL OF FAME DR
Second Line :
City : LAKE CITY
State : FL
Zip : 32055-4833
Country : US
Telephone Number : 386-754-3627
Fax Number : 386-754-3657
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 06/25/2010

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