Individual
VIJAY M PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 W NEWBERRY RD, EAST WING, SUITE 100, GAINESVILLE, FL 32605-4308
(352) 332-3900
(352) 332-5009
Mailing address
PO BOX 102222, ATTN: CREDENTIALING DEPARTMENT, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME112504
FL
207RX0202X
Medical Oncology Physician
Primary
ME112504
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015408200
—
FL
Enumeration date
05/03/2007
Last updated
08/12/2022
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