Provider Demographics
NPI:1235443326
Name:PATEL, VISHAL P (DO)
Entity Type:Individual
Prefix:DR
First Name:VISHAL
Middle Name:P
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:311 9TH ST N STE 100
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5886
Mailing Address - Country:US
Mailing Address - Phone:239-624-8250
Mailing Address - Fax:239-430-7824
Practice Address - Street 1:708 GOODLETTE-FRANK RD N FL 2
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5644
Practice Address - Country:US
Practice Address - Phone:239-291-7005
Practice Address - Fax:239-241-6284
Is Sole Proprietor?:No
Enumeration Date:2010-07-30
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS12997207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014047000Medicaid
FLIB853XOtherMEDICARE
FL14Y49OtherMEDICARE