Provider Demographics
NPI:1609892538
Name:PATEL, ROOPAL ARUN (MD)
Entity Type:Individual
Prefix:
First Name:ROOPAL
Middle Name:ARUN
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4033 TAMPA RD
Mailing Address - Street 2:STE 101
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-3224
Mailing Address - Country:US
Mailing Address - Phone:813-854-2003
Mailing Address - Fax:813-855-2367
Practice Address - Street 1:3638 MADACA LN
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2057
Practice Address - Country:US
Practice Address - Phone:813-968-6610
Practice Address - Fax:813-264-1669
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2021-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME88097208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267296100Medicaid