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Individual

DR. NIMAL PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5651 49TH ST N, ST PETERSBURG, FL 33709-2105
(727) 443-4299
Mailing address
5651 49TH ST N, ST PETERSBURG, FL 33709-2105
(727) 443-4299
(615) 284-7501

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS14335
FL
207RG0100X
Gastroenterology Physician
3429
TN
207RG0100X
Gastroenterology Physician
Primary
OS14335
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MH519
MEDICARE
FL
05
Q036778
TN
Enumeration date
12/04/2012
Last updated
06/02/2020
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