Provider Demographics
NPI:1558321364
Name:PATEL, NARENDRAKUMAR G (MD)
Entity Type:Individual
Prefix:
First Name:NARENDRAKUMAR
Middle Name:G
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 1:3299 SW 34 ST
Mailing Address - Street 2:100A
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474
Mailing Address - Country:US
Mailing Address - Phone:352-291-2212
Mailing Address - Fax:352-291-2283
Practice Address - Street 1:3299 SW 34 ST
Practice Address - Street 2:UNIT 100
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474
Practice Address - Country:US
Practice Address - Phone:352-291-2212
Practice Address - Fax:352-291-2283
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 94591207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274987400Medicaid