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NPI Code Detail

MEDICARE: CHANDRIKA DILIPKUMAR PATEL APRN

MEDICARE: CHANDRIKA DILIPKUMAR PATEL APRN
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
1363LA2200XAdult Health Nurse PractitionerAPRN9231266FL

General Provider Information

NPI Number : 1932505310
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANDRIKA DILIPKUMAR PATEL APRN
Provider Business Mailing Address
First Line : 1515 22ND AVE N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33704-3113
Country : US
Telephone Number : 727-322-4227
Fax Number :
Provider Business Practice Location Address
First Line : 1515 22ND AVE N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33704-3113
Country : US
Telephone Number : 727-322-4227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2014
Last Update Date : 07/19/2023

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