Individual
PAVANKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5200 BABCOCK ST NE STE 106A, PALM BAY, FL 32905-4639
(321) 373-7700
(321) 256-5512
Mailing address
PO BOX 361095, MELBOURNE, FL 32936-1095
(321) 253-2900
(321) 435-0100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01069508A
IN
207R00000X
Internal Medicine Physician
MD449832
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME166782
FL
208M00000X
Hospitalist Physician
MD449832
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102882048
—
PA
Enumeration date
08/29/2008
Last updated
10/31/2025
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