Provider Demographics
NPI:1942566567
Name:PATEL, SHEEL JAYENDRA (MD)
Entity Type:Individual
Prefix:
First Name:SHEEL
Middle Name:JAYENDRA
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 1:5000 PARK ST N STE 1017
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33709-2236
Mailing Address - Country:US
Mailing Address - Phone:727-344-6570
Mailing Address - Fax:727-384-4388
Practice Address - Street 1:603 7TH ST S STE 560
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4732
Practice Address - Country:US
Practice Address - Phone:727-820-7714
Practice Address - Fax:727-202-6455
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.207905207RH0003X
FLME136305207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100218800Medicaid
FLN166UOtherBCBS FL
FLK8436OtherMEDICARE
FLKX143OtherMEDICARE