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Organization
SANJAY A PATEL MD PA
Active
Organization
SANJAY A PATEL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KASHMIRA SANJAY PATEL (OFFICE MANAGER)
(352) 732-6400
Entity
Organization
Contact information
Practice address
419 SW 15TH ST, OCALA, FL 34471-0609
(352) 732-6400
(352) 671-5283
Mailing address
419 SW 15TH ST, OCALA, FL 34471-0609
(352) 732-6400
(352) 671-5283
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME69007
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003866823
NPI ENTITY TYPE ONE ID
FL
01
—
10D0974350
CLIA ID
—
01
—
110204280
RAILROAD MEDICARE ID
FL
05
—
272508800
—
FL
01
—
27591
MEDICARE PROVIDER NUMBER
FL
01
—
69007
ME LICENSE
FL
01
—
G11717
UPIN
FL
Enumeration date
03/17/2010
Last updated
05/21/2024
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