Provider Demographics
NPI:1417990524
Name:PATEL, KAMLESH P (MD)
Entity Type:Individual
Prefix:
First Name:KAMLESH
Middle Name:P
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:PO BOX 5530
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33571-5530
Mailing Address - Country:US
Mailing Address - Phone:813-634-3500
Mailing Address - Fax:813-634-4900
Practice Address - Street 1:717 IMAR DR
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-5368
Practice Address - Country:US
Practice Address - Phone:813-634-3500
Practice Address - Fax:813-634-4900
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95909204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM