Active NPI
Purab Patel
- Hematology & Oncology Physician
- Brandon, FL
National Provider Identifier
1568020964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 2946593
- Practice address
- 2636 Bermuda Lake Dr Apt 203a
Brandon, FL 33510-2398 - Phone
- (813) 445-9148
- NPI assigned
- May 31, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 2946593 | ZZ | Primary |
Addresses
Primary practice location
2636 Bermuda Lake Dr Apt 203a
Brandon, FL 33510-2398
Mailing address
2636 Bermuda Lake Dr Apt 203a
Brandon, FL 33510-2398
Other names 1
- N/a N/a
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2946593 | ZZ | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717286400000",
"number": "1568020964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2636 BERMUDA LAKE DR APT 203A",
"city": "BRANDON",
"state": "FL",
"postal_code": "335102398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2636 BERMUDA LAKE DR APT 203A",
"city": "BRANDON",
"state": "FL",
"postal_code": "335102398",
"telephone_number": "813-445-9148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PURAB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-31",
"last_updated": "2024-06-02",
"certification_date": "2024-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "ZZ",
"license": "2946593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "N/A",
"last_name": "N/A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.