Chirag Bakulesh Patel MD PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME98613 Issued in FL

Legal business name

CHIRAG BAKULESH PATEL MD PA

Practice address

295 Patterson Rd
Suite a
Haines City, FL 33844-6247

Phone

(863) 422-4338

Fax

(866) 696-1224

NPI assigned

Mar 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Chirag Patel, MD

Title

President

Phone

(848) 219-4857

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1363392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1417299454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 LEXINGTON AVE",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338371706",
            "telephone_number": "848-219-4857",
            "fax_number": "866-696-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 PATTERSON RD",
            "address_2": "SUITE A",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446247",
            "telephone_number": "863-422-4338",
            "fax_number": "866-696-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRAG BAKULESH PATEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-16",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "848-219-4857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME98613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280991500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Haines City, FL
• Providers in Haines City, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.