| Rahul A Patel Md Pa | |
|
12989 Southern Blvd Ste 204 Loxahatchee FL 33470-9211 | |
| (561) 791-2500 | |
| (561) 791-2535 |
| Full Name | Rahul A Patel Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 12989 Southern Blvd, Loxahatchee, Florida |
| Authorized Official Name and Position | Rahul A Patel (OWNER) |
| Authorized Official Contact | 5617912500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rahul A Patel Md Pa 12989 Southern Blvd Ste 204 Loxahatchee FL 33470-9211 Ph: (561) 791-2500 | Rahul A Patel Md Pa 12989 Southern Blvd Ste 204 Loxahatchee FL 33470-9211 Ph: (561) 791-2500 |
| NPI Number | 1134238041 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 10/28/2009 |
| Medicare PECOS PAC ID | 7012805708 |
|---|---|
| Medicare Enrollment ID | O20040305000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134238041 | NPI | - | NPPES |
| 262658600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME79886 (Florida) | Primary |
| Provider Name | Rahul A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790893535 PECOS PAC ID: 9739077421 Enrollment ID: I20040308000026 |
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