Provider Demographics
NPI:1881833424
Name:HOSPITALIST OB GYN LLC
Entity Type:Organization
Organization Name:HOSPITALIST OB GYN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NIRAJ
Authorized Official - Middle Name:V
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-727-2650
Mailing Address - Street 1:PO BOX 46577
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33646
Mailing Address - Country:US
Mailing Address - Phone:813-454-1113
Mailing Address - Fax:813-454-1114
Practice Address - Street 1:13601 BRUCE B DOWNS BLVD
Practice Address - Street 2:SUIT 121
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4657
Practice Address - Country:US
Practice Address - Phone:813-454-1113
Practice Address - Fax:813-454-1114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty