Individual
DR. MAMTA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 821-8038
Mailing address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(205) 516-3545
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME148226
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME148226
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286341701
—
TX
01
—
BXA43
BCBS
FL
Enumeration date
06/20/2006
Last updated
08/29/2022
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