| G Patel Md Pa | |
|
8011 Barrosa Cir Melbourne FL 32940-7084 | |
| (224) 622-6364 | |
| (321) 989-0327 |
| Full Name | G Patel Md Pa |
|---|---|
| Speciality | Hospitalist |
| Location | 8011 Barrosa Cir, Melbourne, Florida |
| Authorized Official Name and Position | Gaurang B Patel (PRESIDENT) |
| Authorized Official Contact | 2246226364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G Patel Md Pa 8011 Barrosa Cir Melbourne FL 32940-7084 Ph: (224) 622-6364 | G Patel Md Pa 8011 Barrosa Cir Melbourne FL 32940-7084 Ph: (224) 622-6364 |
| NPI Number | 1497279590 |
|---|---|
| Provider Enumeration Date | 07/31/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4183998636 |
|---|---|
| Medicare Enrollment ID | O20170921001339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497279590 | NPI | - | NPPES |
| JB731A | Other | FL | MEDICARE |
| DX7147 | Other | FL | RRMEDICARE |
| 021833600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Gaurang Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366739773 PECOS PAC ID: 9133353238 Enrollment ID: I20151106002324 |
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