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AJAY PRAVIN PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6919 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33614-3972
(813) 933-3324
(813) 932-4357
Mailing address
6919 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33614-3972
(813) 933-3324
(813) 932-4357

Taxonomy

Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
ME94121
FL
208600000X
Surgery Physician
ME94121
FL
2086S0129X
Vascular Surgery Physician
Primary
ME94121
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
269125
WELLCARE
FL
05
273800700
FL
01
29980
BCBS
FL
01
P00276279
RAILROAD MEDICARE
Enumeration date
08/25/2005
Last updated
04/24/2020
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