Provider Demographics
NPI:1003982570
Name:PATEL, MEHUL K (MD)
Entity Type:Individual
Prefix:DR
First Name:MEHUL
Middle Name:K
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 CURLEW RD STE 6E
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-9307
Mailing Address - Country:US
Mailing Address - Phone:727-789-2922
Mailing Address - Fax:727-787-4288
Practice Address - Street 1:2323 CURLEW RD STE 6E
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-9307
Practice Address - Country:US
Practice Address - Phone:727-789-2922
Practice Address - Fax:727-787-4288
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0072010207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK2064Medicare ID - Type UnspecifiedGRP
FLF33540Medicare UPIN