Individual
DR. SHAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4700 N HABANA AVE, TAMPA, FL 33614-7160
(813) 333-0744
Mailing address
9661 SWEETWELL PL, RIVERVIEW, FL 33569-5677
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY12302
FL
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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