Gaurang B. Patel, M.D
Internal Medicine in Palm Bay, FL. Individual provider (NPI-1).
NPI number1366739773
StatusActive
Last updated in NPPESJan 12, 2023
Details
- NPI
- 1366739773
- Entity type
- Individual (NPI-1)
- Name
- Gaurang B. Patel
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2011
- Certification date
- Jan 12, 2023
- Last updated
- Jan 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME124693 | FL | Yes |
| 207R00000X | Internal Medicine | 036132729 | IL | |
| 208M00000X | Hospitalist | ME124693 | FL | |
| 208M00000X | Hospitalist | 036132729 | IL |
Practice location
1051 Port Malabar Blvd Ne Ste 4Palm Bay, FL 32905-5153
Phone 321-844-7001 · Fax 321-622-6544
Mailing address
Po Box 361095Melbourne, FL 32936-1095
Phone 321-844-7001 · Fax 321-622-6544
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