Individual
VISHNU PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 MALABAR RD, PALM BAY, FL 32907-3200
(321) 435-3655
(321) 435-3652
Mailing address
2200 W EAU GALLIE BLVD, SUITE 202 C, MELBOURNE, FL 32935-3166
(321) 728-2722
(321) 435-3652
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME93611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274141500
—
FL
01
—
P00264529
RAIL ROAD MEDICARE
—
Enumeration date
05/31/2006
Last updated
07/17/2013
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