Provider Demographics
NPI:1497450621
Name:PATEL, D.O., P.C.
Entity Type:Organization
Organization Name:PATEL, D.O., P.C.
Other - Org Name:FITON CARE OF CALIFORNIA, P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:812-878-0070
Mailing Address - Street 1:802 E WHITING ST STE 14
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-4136
Mailing Address - Country:US
Mailing Address - Phone:415-906-2273
Mailing Address - Fax:
Practice Address - Street 1:802 E WHITING ST STE 14
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-4136
Practice Address - Country:US
Practice Address - Phone:415-906-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty