Provider Demographics
NPI:1346504123
Name:PATEL, MEHUL SUMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MEHUL
Middle Name:SUMAN
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:443 LUCERNE AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-3838
Mailing Address - Country:US
Mailing Address - Phone:813-820-1724
Mailing Address - Fax:888-977-1998
Practice Address - Street 1:3225 S MACDILL AVE # 12-269
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-8171
Practice Address - Country:US
Practice Address - Phone:813-474-9804
Practice Address - Fax:813-540-6023
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2023-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT202866207R00000X
PAMD456335207R00000X
FLME127494208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist