Individual
NISHITH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470
Mailing address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME131371
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME131371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021133700
—
FL
01
—
GIG88
BCBS
FL
01
—
IZ465Y
MEDICARE PTAN OHRI
FL
01
—
PS224
MEDICARE PTAN OHMG
FL
Enumeration date
07/07/2011
Last updated
03/28/2023
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