Provider Demographics
NPI:1225094527
Name:PATEL, DINESH D (MD)
Entity Type:Individual
Prefix:DR
First Name:DINESH
Middle Name:D
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:7807 BAYMEADOWS RD E
Mailing Address - Street 2:SUITE 209
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-9666
Mailing Address - Country:US
Mailing Address - Phone:904-565-9270
Mailing Address - Fax:904-567-3058
Practice Address - Street 1:7807 BAYMEADOWS RD E
Practice Address - Street 2:SUITE 209
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-9666
Practice Address - Country:US
Practice Address - Phone:904-565-9270
Practice Address - Fax:904-567-3058
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME55622207RC0200X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL373614800Medicaid
FL373614800Medicaid
F29633Medicare UPIN