Organization Active NPI

Mangesh B Patel M.D. PA

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1073837357
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME55966 Issued in FL
Legal business name
MANGESH B PATEL M.D. PA
Practice address
1030 S 78TH St
Tampa, FL 33619-4750
Phone
(813) 740-0646
Fax
(813) 849-0849
NPI assigned
Mar 16, 2010
Last updated
Mar 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mangesh B Patel, M.D.NPI 1194781443
Title
M.D. PA
Phone
(813) 740-0646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME55966 FL Primary

Addresses

Primary practice location

1030 S 78TH St
Tampa, FL 33619-4750

Mailing address

1030 S 78TH St
Tampa, FL 33619-4750
Phone (813) 740-0646

National Provider Directory

National Provider Directory

Locations

1030 S 78th St
Tampa, FL 33619
Phone (813) 740-0635

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1073837357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S 78TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194750",
            "telephone_number": "813-740-0646",
            "fax_number": "813-849-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S 78TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194750",
            "telephone_number": "813-740-0646",
            "fax_number": "813-849-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGESH B PATEL M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MANGESH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "M.D. PA",
        "authorized_official_telephone_number": "813-740-0646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME55966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.