Skip Navigation

Provider Information for 1649235946

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

SONAL PATEL MD

Gender: FEMALE

Individual NPI: 1649235946

Calendar   Last Updated:  2017-06-22
  Certification Date: 

Details

Name Value
NPI 1649235946
Enumeration Date 2006-04-19
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 7575 STATE ROAD 52
BAYONET POINT, FL 34667-6716
United States

Phone: 813-803-7150 | Fax: 813-803-1767
View Map External Link
Primary Practice Address 18923 SR 54
LUTZ, FL 33558-5268
United States

Phone: 813-803-7150 | Fax: 813-803-1767
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 275304900
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207R00000X - Internal Medicine FL ME94149