Shivam U Patel

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

644 Ferguson Dr Ste 200
Orlando, FL 32805-1023

Phone

(407) 574-4629

NPI assigned

Jun 29, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1871110528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HOOKS ST UNIT 3201",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113577",
            "telephone_number": "630-608-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 FERGUSON DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051023",
            "telephone_number": "407-574-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIVAM",
        "middle_name": "U",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sejal Dharia Patel, M.D.
• Shalini R. Patel, MD
• Shareen Patel
• Sheena Patel, DDS
• Shetal Patel, OD
• Shreya N Patel, M.D.
• Shubh Patel, BS
• Sima Atul Patel, MD
• Suhas Patel, MD
• Sunita Indravadan Patel, M.D.

• Behavior Technician in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.