| Mangesh B Patel M.d. Pa | |
|
1030 S 78th St Tampa FL 33619-4750 | |
| (813) 740-0646 | |
| (813) 849-0849 |
| Full Name | Mangesh B Patel M.d. Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1030 S 78th St, Tampa, Florida |
| Authorized Official Name and Position | Mangesh B Patel (M.D. PA) |
| Authorized Official Contact | 8137400646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mangesh B Patel M.d. Pa 1030 S 78th St Tampa FL 33619-4750 Ph: (813) 740-0646 | Mangesh B Patel M.d. Pa 1030 S 78th St Tampa FL 33619-4750 Ph: (813) 740-0646 |
| NPI Number | 1073837357 |
|---|---|
| Provider Enumeration Date | 03/16/2010 |
| Last Update Date | 03/16/2010 |
| Medicare PECOS PAC ID | 8123209087 |
|---|---|
| Medicare Enrollment ID | O20110224000877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073837357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME55966 (Florida) | Primary |
| Provider Name | Mangesh B Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194781443 PECOS PAC ID: 0143364240 Enrollment ID: I20110224000904 |
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