Provider Demographics
NPI:1659344257
Name:PATEL, SATISH (MD)
Entity Type:Individual
Prefix:DR
First Name:SATISH
Middle Name:
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:PO BOX 1619
Mailing Address - Street 2:
Mailing Address - City:ELFERS
Mailing Address - State:FL
Mailing Address - Zip Code:34680-1619
Mailing Address - Country:US
Mailing Address - Phone:727-849-0222
Mailing Address - Fax:727-847-7685
Practice Address - Street 1:5340 GULF DR STE 105
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-3922
Practice Address - Country:US
Practice Address - Phone:727-849-0222
Practice Address - Fax:888-905-2519
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME-57746207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01168333OtherRAILROAD MEDICARE
FL11197OtherBCBS
FL064309201Medicaid
100005973OtherRAILROAD MEDICARE
FL064309201Medicaid
FL11197WMedicare PIN
FL11197OtherBCBS
FLE59299Medicare UPIN
FL11197XMedicare PIN