Individual
SHIVANI M PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 6TH ST S, ST PETERSBURG, FL 33701-4630
(727) 898-7451
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D68491
MD
207L00000X
Anesthesiology Physician
R7451
IA
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME154409
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036662500
—
MD
Enumeration date
05/23/2007
Last updated
03/08/2023
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