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Provider Information for 1043537335

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MILAN RAVINDRA PATEL M.D.

Gender: MALE

Individual NPI: 1043537335

Calendar   Last Updated:  2019-09-19
  Certification Date: 

Details

Name Value
NPI 1043537335
Enumeration Date 2010-04-26
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 3001 EXECUTIVE DR STE 130
CLEARWATER, FL 33762-5323
United States

Phone: 727-347-0005 | Fax: 727-541-6558
View Map External Link
Primary Practice Address 3901 66TH ST N STE 201
ST PETERSBURG, FL 33709
United States

Phone: 727-345-5500 | Fax: 727-343-3716
View Map External Link
Secondary Practice Address 1300 S FORT HARRISON AVE STE 100
CLEARWATER, FL 33756-3360
United States

Phone: 727-447-3100 | Fax: 727-343-3716
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207RG0100X - Internal Medicine Gastroenterology FL ME135922