Individual
HITESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 PINELLAS ST, SUITE 300, CLEARWATER, FL 33756-3312
(727) 447-8100
(727) 461-2603
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME59034
FL
207RX0202X
Medical Oncology Physician
Primary
ME59034
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18690
BLUE CROSS / BLUE SHIELD
—
05
—
255143800
—
FL
01
—
830005041
RR PROVIDER #
FL
01
—
P00896068
RAILROAD MEDICARE
FL
Enumeration date
08/15/2005
Last updated
08/11/2022
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