Individual
RAJESH KACHARALAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 S INTERNATIONAL PARKWAY, SUITE 1011, LAKE MARY, FL 32746-1410
(407) 804-6002
(407) 804-8777
Mailing address
1772 HOLLAND CT, LONGWOOD, FL 32779-3145
(407) 804-6002
(407) 804-8777
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
ME0062618
FL
207KA0200X
Allergy Physician
Primary
ME0062618
FL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
ME0062618
FL
2080P0201X
Pediatric Allergy/Immunology Physician
ME0062618
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378852100
—
FL
Enumeration date
05/10/2006
Last updated
12/22/2020
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