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NPI Code Detail

MEDICARE: JASON ERIC PATEL M.D.

MEDICARE: JASON ERIC 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
12084P0800XPsychiatry Physician4301107911MI
22084P0800XPsychiatry PhysicianME140827FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932581055
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON ERIC PATEL M.D.
Provider Business Mailing Address
First Line : PO BOX 13343
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33733-3343
Country : US
Telephone Number : 727-203-5035
Fax Number : 727-205-5447
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 : 06/25/2015
Last Update Date : 02/07/2024

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