Basic Information
| Provider Information | |||||||||
| NPI: | 1194215335 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VINOD M PATEL, MD, PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7050 NW 4TH STREET | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333172247 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544847030 | ||||||||
| FaxNumber: | 9544841280 | ||||||||
| Practice Location | |||||||||
| Address1: | 7050 NW 4TH STREET | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33317 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9547915300 | ||||||||
| FaxNumber: | 9547915305 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/14/2018 | ||||||||
| LastUpdateDate: | 09/03/2018 | ||||||||
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| AuthorizedOfficialLastName: | PATEL | ||||||||
| AuthorizedOfficialFirstName: | VINOD | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 9547915300 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.