Individual
PRATIK P PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1544
(352) 265-0291
(352) 265-0279
Mailing address
PO BOX 100374, GAINESVILLE, FL 32610-1544
(352) 265-0291
(352) 265-0279
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D0087099
MD
2085R0202X
Diagnostic Radiology Physician
Primary
ME145877
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074487371
—
DC
05
—
222827100
—
MD
Enumeration date
04/15/2014
Last updated
06/29/2020
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