Provider Demographics
NPI:1700031440
Name:PATEL, PAYAL S (MD)
Entity Type:Individual
Prefix:DR
First Name:PAYAL
Middle Name:S
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 MEASE DR STE 104
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-6603
Mailing Address - Country:US
Mailing Address - Phone:727-725-6283
Mailing Address - Fax:813-635-2186
Practice Address - Street 1:1840 MEASE DR
Practice Address - Street 2:SUITE 104
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-6603
Practice Address - Country:US
Practice Address - Phone:727-725-6283
Practice Address - Fax:813-635-2186
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME116778207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009430600Medicaid
FLHN370YMedicare PIN
FLHN370ZMedicare PIN
FL009430600Medicaid