Provider Demographics
NPI:1891752952
Name:PATEL, LEKHRAJ (MD)
Entity Type:Individual
Prefix:
First Name:LEKHRAJ
Middle Name:
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 1:233 S FEDERAL HWY
Mailing Address - Street 2:STE 110
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-4937
Mailing Address - Country:US
Mailing Address - Phone:561-750-7955
Mailing Address - Fax:561-750-8163
Practice Address - Street 1:3848 FAU BLVD STE 305
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6437
Practice Address - Country:US
Practice Address - Phone:305-243-3100
Practice Address - Fax:561-393-7312
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC1282002084N0400X
FLME823772084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL51469OtherBCBS
FLE6562YMedicare ID - Type Unspecified
H20925Medicare UPIN
FLK4150Medicare ID - Type Unspecified