Provider Demographics
NPI:1376356717
Name:PATEL, ANKITA ISHVER (PA)
Entity type:Individual
Prefix:
First Name:ANKITA
Middle Name:ISHVER
Last Name:PATEL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12527 RINGWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-8583
Mailing Address - Country:US
Mailing Address - Phone:865-951-5464
Mailing Address - Fax:
Practice Address - Street 1:12527 RINGWOOD AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-8583
Practice Address - Country:US
Practice Address - Phone:865-951-5464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant