Provider Demographics
NPI:1164404299
Name:PATEL, ROHIT MAGANLAL (MD)
Entity Type:Individual
Prefix:
First Name:ROHIT
Middle Name:MAGANLAL
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ROHIT
Other - Middle Name:
Other - Last Name:PATEL MD PA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 153155
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33684-3155
Mailing Address - Country:US
Mailing Address - Phone:727-734-9004
Mailing Address - Fax:727-734-1808
Practice Address - Street 1:3709 W HAMILTON AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-4015
Practice Address - Country:US
Practice Address - Phone:813-931-2500
Practice Address - Fax:813-931-2533
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0059700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
12742Medicare ID - Type Unspecified
E95272Medicare UPIN