Provider Demographics
NPI:1467946988
Name:SOHAM PATEL M.D., P.A.
Entity Type:Organization
Organization Name:SOHAM PATEL M.D., P.A.
Other - Org Name:CENTER FOR PREVENTIVE ENDOCRINOLOGY AND NUTRITION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOHAM
Authorized Official - Middle Name:PRAVINKUMAR
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-670-3228
Mailing Address - Street 1:27415 CASHFORD CIR STE 102
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6973
Mailing Address - Country:US
Mailing Address - Phone:813-670-3228
Mailing Address - Fax:813-463-7972
Practice Address - Street 1:27415 CASHFORD CIR STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6973
Practice Address - Country:US
Practice Address - Phone:813-670-3228
Practice Address - Fax:813-463-7972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME122811207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty