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Organization
MAHENDRAKUMAR.M.PATEL MD PA
Active
Organization
MAHENDRAKUMAR.M.PATEL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHENDRAKUMAR MOHANLAL PATEL MD (OWNER)
(813) 933-4707
Entity
Organization
Contact information
Practice address
2916 W WATERS AVE, SUITE A1, TAMPA, FL 33614-1869
(813) 933-4707
(813) 933-5530
Mailing address
2916 W WATERS AVE, SUITE A1, TAMPA, FL 33614-1869
(813) 933-4707
(813) 933-5530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049457700
—
FL
Enumeration date
01/28/2015
Last updated
01/28/2015
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