Male or Other

Pratik P. Patel

Diagnostic Radiology Physician in Gainesville, FL(View on Map)

Full Name

Pratik P Patel

NPI Number

1396164513

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/15/2014

Specialties

(Taxonomies)

Code

2085R0202X

Primary Taxonomy

Yes

Licenses

State

Florida
Maryland

License Number

ME145877
D0087099

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 100374
1600 SW ARCHER RD

City

Gainesville
Gainesville

State

FL
FL

Postal Code

32610-1544
32610-1544

Country

US
US

Telephone Number

(352) 265-0291
(352) 265-0291

Identifiers

Identifier

222827100
074487371

Identifier State

MD
DC

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/29/2020

Provider Address

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