Provider Demographics
NPI:1679923932
Name:PATEL, TEJAL (MD)
Entity Type:Individual
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First Name:TEJAL
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14275 MIDWAY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3614
Mailing Address - Country:US
Mailing Address - Phone:866-697-8378
Mailing Address - Fax:610-271-4245
Practice Address - Street 1:1701 SE HILLMOOR DR STE C11
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-7541
Practice Address - Country:US
Practice Address - Phone:813-979-8711
Practice Address - Fax:610-271-4245
Is Sole Proprietor?:No
Enumeration Date:2016-06-17
Last Update Date:2023-08-24
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Provider Licenses
StateLicense IDTaxonomies
FL163756207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology