Individual
VIJAY MANUBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17936 CACHET ISLE DR, TAMPA, FL 33647-2702
(813) 618-0034
Mailing address
17936 CACHET ISLE DR, TAMPA, FL 33647-2702
(813) 618-0034
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME78383
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256744000
—
FL
01
—
390007237
RR MEDICARE
FL
Enumeration date
08/25/2006
Last updated
09/25/2022
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