MEDICARE: ALEXANDER KIRAN PATEL DO

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	207RC0000X	Cardiovascular Disease Physician	OS17573	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	:	1932686755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER KIRAN PATEL DO

Provider Business Mailing Address
First Line	:	520 SE 5TH AVE APT 2408
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-2957
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1841 NE 45TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-5117
Country	:	US
Telephone Number	:	954-678-9531
Fax Number	:

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

Provider Enumeration Date	:	07/24/2018
Last Update Date	:	04/20/2026

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Directions to “ ALEXANDER KIRAN PATEL DO” Practice Location

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