Organization Active NPI

Mahesh Patel Mdpa

  • Specialist
  • Tampa, FL
National Provider Identifier
1700041316
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0050436 Issued in FL
Legal business name
MAHESH PATEL MDPA
Practice address
403 E. Martin Luther King Jr. Blvd.
Tampa, FL 33603-3805
Phone
(813) 224-9025
Fax
(813) 223-1545
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Dr. Mahesh Patel, M.D., P.ANPI 1235133208
Title
Doctor
Phone
(813) 224-9025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0050436 FL Primary

Addresses

Primary practice location

403 E. Martin Luther King Jr. Blvd.
Tampa, FL 33603-3805

Mailing address

403 E. Martin Luther King Jr. Blvd.
Tampa, FL 33603-3805
Phone (813) 224-9025

Other identifiers 1

IdentifierTypeStateIssuer
045905400MedicaidFL

Other names 1

  • Mahesh Patel MDPA Former legal business name

National Provider Directory

National Provider Directory

Locations

403 E Martin Luther King Blvd
#J
Tampa, FL 33603

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1700041316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E. MARTIN LUTHER KING JR. BLVD.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033805",
            "telephone_number": "813-224-9025",
            "fax_number": "813-223-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E. MARTIN LUTHER KING JR. BLVD.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033805",
            "telephone_number": "813-224-9025",
            "fax_number": "813-223-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHESH PATEL MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "813-224-9025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0050436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045905400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mahesh Patel MDPA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 30, 2012; 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.