Individual
GAURANG B. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1051 PORT MALABAR BLVD NE STE 4, PALM BAY, FL 32905-5153
(321) 844-7001
(321) 622-6544
Mailing address
PO BOX 361095, MELBOURNE, FL 32936-1095
(321) 844-7001
(321) 622-6544
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036132729
IL
207R00000X
Internal Medicine Physician
Primary
ME124693
FL
208M00000X
Hospitalist Physician
036132729
IL
208M00000X
Hospitalist Physician
ME124693
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016398800
—
FL
01
—
II826Y
MEDICARE PTAN
FL
01
—
P01664701
HF FL RR MEDICARE
—
01
—
P01900099
RRMEDICARE PTAN
FL
Enumeration date
07/06/2011
Last updated
01/12/2023
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