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Organization

CHIRAG BAKULESH PATEL MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHIRAG PATEL MD (PRESIDENT)
(848) 219-4857
Entity
Organization

Contact information

Practice address
295 PATTERSON RD, SUITE A, HAINES CITY, FL 33844-6247
(863) 422-4338
(866) 696-1224
Mailing address
1519 LEXINGTON AVE, DAVENPORT, FL 33837-1706
(848) 219-4857
(866) 696-1224

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME98613
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
280991500
FL
Enumeration date
03/16/2013
Last updated
09/04/2013
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