Provider Demographics
NPI:1497728570
Name:PATEL, VINOD M (MD)
Entity Type:Individual
Prefix:MR
First Name:VINOD
Middle Name:M
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7050 NW 4TH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2247
Mailing Address - Country:US
Mailing Address - Phone:954-791-5300
Mailing Address - Fax:954-791-5305
Practice Address - Street 1:7050 NW 4TH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317
Practice Address - Country:US
Practice Address - Phone:954-791-5300
Practice Address - Fax:954-791-5305
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-09
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0026571207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
D60181Medicare UPIN
FL92796Medicare ID - Type Unspecified