Individual
DR. HARISH M PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
483 N SEMORAN BLVD, STE 102, WINTER PARK, FL 32792-3800
(407) 645-1847
(321) 274-0322
Mailing address
483 N SEMORAN BLVD, STE 102, WINTER PARK, FL 32792-3800
(407) 645-1847
(321) 274-0322
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME90558
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME90558
FL
207UN0901X
Nuclear Cardiology Physician
ME90558
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106290
HUMANA PROV ID #
FL
01
—
2473550
UNITED H'CARE PROV ID #
FL
01
—
267166
AMERIGROUP MCD PROV ID #
FL
05
—
271142700
—
FL
01
—
46076
BCBS OF FL PROV ID #
FL
01
—
9925439
CIGNA PROV ID #
FL
01
—
P00142235
RAILROAD MEDICARE
FL
01
—
P00662309
RAILROAD MEDICARE ATTACHED TO GROUP CH7618
—
Enumeration date
07/01/2005
Last updated
07/19/2021
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