Provider Demographics
NPI:1174503924
Name:PATEL, RAMESH M (MD)
Entity Type:Individual
Prefix:
First Name:RAMESH
Middle Name:M
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1910 N ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-5528
Mailing Address - Country:US
Mailing Address - Phone:407-898-1451
Mailing Address - Fax:407-897-8626
Practice Address - Street 1:1910 N ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-5528
Practice Address - Country:US
Practice Address - Phone:407-898-1451
Practice Address - Fax:407-897-8626
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME35553207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL066448100Medicaid
FL066448100Medicaid