Individual
RISHI R PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17222 HOSPITAL BLVD, SUITE 346, BROOKSVILLE, FL 34601-8925
(352) 796-3334
(352) 796-3323
Mailing address
17222 HOSPITAL BLVD STE 346, BROOKSVILLE, FL 34601-8925
(352) 796-3334
(352) 796-3323
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101258312
VA
207N00000X
Dermatology Physician
248030
NY
207N00000X
Dermatology Physician
57.011035
OH
207N00000X
Dermatology Physician
D0076460
MD
207N00000X
Dermatology Physician
ME0124368
FL
207ND0900X
Dermatopathology Physician
0101258312
VA
207ND0900X
Dermatopathology Physician
248030
NY
207ND0900X
Dermatopathology Physician
D0076460
MD
207ND0900X
Dermatopathology Physician
Primary
ME0124368
FL
390200000X
Student in an Organized Health Care Education/Training Program
248030
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9QWO0
FLORIDA BLUE
FL
Enumeration date
05/25/2007
Last updated
12/17/2025
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