Provider Demographics
NPI:1932505310
Name:PATEL, CHANDRIKA DILIPKUMAR (APRN)
Entity Type:Individual
Prefix:
First Name:CHANDRIKA
Middle Name:DILIPKUMAR
Last Name:PATEL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CHANDRIKA
Other - Middle Name:GUNVANT
Other - Last Name:PARMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1515 22ND AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-3113
Mailing Address - Country:US
Mailing Address - Phone:727-322-4227
Mailing Address - Fax:
Practice Address - Street 1:1515 22ND AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-3113
Practice Address - Country:US
Practice Address - Phone:727-322-4227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-12
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9231266363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health