Provider Demographics
NPI:1598108557
Name:PATEL, RAVI JAIMINI (DO)
Entity Type:Individual
Prefix:DR
First Name:RAVI
Middle Name:JAIMINI
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4434 SW 91ST DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-7136
Mailing Address - Country:US
Mailing Address - Phone:352-313-8000
Mailing Address - Fax:816-421-7379
Practice Address - Street 1:4434 SW 91ST DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-7136
Practice Address - Country:US
Practice Address - Phone:812-878-0070
Practice Address - Fax:812-878-0070
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014036373207P00000X
FLOS14434207P00000X, 208D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty