| Alpha Medical Clinic | |
|
116 W Bougainvillea Avenue Tampa FL 33612-7437 | |
| (813) 932-4381 | |
| (813) 933-6875 |
| Full Name | Alpha Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 116 W Bougainvillea Avenue, Tampa, Florida |
| Authorized Official Name and Position | Pravin D Patel (ADMINISTRATOR) |
| Authorized Official Contact | 8139324381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Medical Clinic 116 W Bougainvillea Avenue Tampa FL 33612-7437 Ph: (813) 932-4381 | Alpha Medical Clinic 116 W Bougainvillea Avenue Tampa FL 33612-7437 Ph: (813) 932-4381 |
| NPI Number | 1184737405 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1052375102 |
|---|---|
| Medicare Enrollment ID | O20041117001135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184737405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sanjiv K Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861492100 PECOS PAC ID: 8527029255 Enrollment ID: I20041025001169 |
| Provider Name | Krunal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427126036 PECOS PAC ID: 6901992486 Enrollment ID: I20071013000095 |
| Provider Name | Devjit Halder |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962677666 PECOS PAC ID: 5395803894 Enrollment ID: I20081028000585 |
| Provider Name | Chandravadan Jashbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740280833 PECOS PAC ID: 2163698671 Enrollment ID: I20120105000310 |
| Provider Name | Mukesh B Satodiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043331531 PECOS PAC ID: 6002906658 Enrollment ID: I20150518000914 |
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