Organization Active NPI

Mahendrakumar.M.Patel MD PA

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1427448588
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MAHENDRAKUMAR.M.PATEL MD PA
Practice address
2916 W Waters Ave
Suite A1
Tampa, FL 33614-1869
Phone
(813) 933-4707
Fax
(813) 933-5530
NPI assigned
Jan 28, 2015
Last updated
Jan 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Dr. Mahendrakumar Mohanlal Patel, MD
Title
Owner
Phone
(813) 933-4707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2916 W Waters Ave
Suite A1
Tampa, FL 33614-1869

Mailing address

2916 W Waters Ave
Suite A1
Tampa, FL 33614-1869
Phone (813) 933-4707

Other identifiers 1

IdentifierTypeStateIssuer
049457700MedicaidFL

National Provider Directory

National Provider Directory

Locations

2916 W Waters Ave
Ste A1
Tampa, FL 33614
Phone (813) 598-5475

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1427448588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 W WATERS AVE",
            "address_2": "SUITE A1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141869",
            "telephone_number": "813-933-4707",
            "fax_number": "813-933-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 W WATERS AVE",
            "address_2": "SUITE A1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141869",
            "telephone_number": "813-933-4707",
            "fax_number": "813-933-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHENDRAKUMAR.M.PATEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAHENDRAKUMAR",
        "authorized_official_middle_name": "MOHANLAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-933-4707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049457700",
            "state": "FL"
        }
    ],
    "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 Jan 28, 2015; 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.