Provider Demographics
NPI:1023267887
Name:PATEL, SHEKHA NIRANJAN (DMD)
Entity type:Individual
Prefix:DR
First Name:SHEKHA
Middle Name:NIRANJAN
Last Name:PATEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 224
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33468-0224
Mailing Address - Country:US
Mailing Address - Phone:407-415-4866
Mailing Address - Fax:
Practice Address - Street 1:1405 N ALTERNATE A1A STE 106
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33469-3227
Practice Address - Country:US
Practice Address - Phone:561-770-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN18580122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist