Active NPI
Mangesh B Patel M.D. PA
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1073837357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME55966
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.
-
- Family Medicine Physician
- Tampa, FL
- NPI 1194781443
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.