Provider Demographics
NPI:1578785234
Name:PATEL, YOGESHWAR A (MD)
Entity Type:Individual
Prefix:
First Name:YOGESHWAR
Middle Name:A
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 1:1300 MICCOSUKEE RD
Mailing Address - Street 2:TALLAHASSEE MEMORIAL HEALTHCARE INC., DBA TALLAHASSEE M
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5054
Mailing Address - Country:US
Mailing Address - Phone:973-229-3438
Mailing Address - Fax:
Practice Address - Street 1:3768 FAIWAY PARK DRIVE
Practice Address - Street 2:APT 214
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321
Practice Address - Country:US
Practice Address - Phone:973-229-3438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHBB5202786159207Q00000X
OH35.090310207Q00000X
FLME105296207Q00000X
CT47943207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine