Provider Demographics
NPI:1235193384
Name:PATEL, NAVINCHANDRA VIRCHAND (MD)
Entity Type:Individual
Prefix:DR
First Name:NAVINCHANDRA
Middle Name:VIRCHAND
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 1:4304 GAINESBOROUGH CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-2602
Mailing Address - Country:US
Mailing Address - Phone:813-598-6472
Mailing Address - Fax:813-788-5119
Practice Address - Street 1:4304 GAINESBOROUGH CT
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-2602
Practice Address - Country:US
Practice Address - Phone:813-598-6472
Practice Address - Fax:813-788-5119
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME72605207RH0002X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL257573600Medicaid
FL46306YMedicare ID - Type Unspecified