Provider Demographics
NPI:1821038852
Name:PATEL, DEEPAK T (MD)
Entity Type:Individual
Prefix:
First Name:DEEPAK
Middle Name:T
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 1:119 US HIGHWAY 27 N
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-2100
Mailing Address - Country:US
Mailing Address - Phone:863-382-0009
Mailing Address - Fax:863-314-0008
Practice Address - Street 1:119 US HIGHWAY 27 N
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870
Practice Address - Country:US
Practice Address - Phone:863-382-0009
Practice Address - Fax:863-314-0008
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0073128207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL253162300Medicaid
FL253162300Medicaid
FL41628Medicare PIN