Individual
PRANEIL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8375 DIX ELLIS TRL STE 201, JACKSONVILLE, FL 32256-8241
(904) 236-5884
Mailing address
PO BOX 63112, CHARLOTTE, NC 28263-3112
(336) 274-9617
(336) 482-2177
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2020-03898
NC
2085R0202X
Diagnostic Radiology Physician
2020-03898
NC
2085R0202X
Diagnostic Radiology Physician
MD464041
PA
2085R0202X
Diagnostic Radiology Physician
Primary
ME164565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103502359
—
PA
Enumeration date
07/03/2010
Last updated
09/06/2023
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