Provider Demographics
NPI:1336257849
Name:PATEL, NAVNIT AMBALAL (MD)
Entity Type:Individual
Prefix:
First Name:NAVNIT
Middle Name:AMBALAL
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 1:2721 W STATE ROAD 434
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-4880
Mailing Address - Country:US
Mailing Address - Phone:407-786-0032
Mailing Address - Fax:407-786-0097
Practice Address - Street 1:2721 W STATE ROAD 434
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-4880
Practice Address - Country:US
Practice Address - Phone:407-786-0032
Practice Address - Fax:407-786-0097
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0048605207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL049770300Medicaid
FL592839546OtherAETNA
FL592839546OtherAARP
FL592839546OtherTRICARE AS SECONDARY
FL04440OtherBLUECROSS/BLUESHIELD
FL5100032OtherGHI
FL592839546OtherEMPLOYER IDENTIFICATION #
FL03149OtherHEALTHEASE
FL085650OtherAVMED
FL592839546OtherUNITED HEALTH CARE
FL201464OtherAMERIGROUP
FL03149OtherSTAYWELL
FL03149OtherWELLCARE
FL4020982OtherCIGNA HEALTH CARE
FL592839546OtherHUMANA
FL592839546OtherHUMANA
FLD61086Medicare UPIN