Provider Demographics
NPI:1760649248
Name:PATEL, FALGUNI S (DO)
Entity Type:Individual
Prefix:MRS
First Name:FALGUNI
Middle Name:S
Last Name:PATEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W BEACH PL
Mailing Address - Street 2:APARTMENT 1503
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2334
Mailing Address - Country:US
Mailing Address - Phone:516-641-7867
Mailing Address - Fax:
Practice Address - Street 1:101 W BEACH PL
Practice Address - Street 2:APARTMENT 1503
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2334
Practice Address - Country:US
Practice Address - Phone:516-641-7867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS127442085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology