Individual
DR. VIJAY B PATANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470
Mailing address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME77393
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256214600
—
FL
01
—
47131
BCBS
FL
01
—
E2262V
MEDICARE PTAN OHRI
FL
01
—
PT020
MEDICARE PTAN OHMG
FL
Enumeration date
09/27/2005
Last updated
03/28/2023
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