Individual
SHIVAM PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3663 S MIAMI AVE, MIAMI, FL 33133-4253
(305) 854-4400
Mailing address
510 MADEIRA AVE, CORAL GABLES, FL 33134-4237
(305) 766-5485
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
AA836
FL
367H00000X
Anesthesiologist Assistant
Primary
AA836
FL
Other
Enumeration date
09/12/2023
Last updated
10/07/2023
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