Provider Demographics
NPI:1356397764
Name:PATWARI, SUNEETH (MD)
Entity type:Individual
Prefix:DR
First Name:SUNEETH
Middle Name:
Last Name:PATWARI
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 1:10334 LIGHTNER BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1809
Mailing Address - Country:US
Mailing Address - Phone:813-350-9398
Mailing Address - Fax:813-414-9181
Practice Address - Street 1:507 S MACDILL AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3038
Practice Address - Country:US
Practice Address - Phone:813-350-9398
Practice Address - Fax:813-414-9181
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77563207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine