Basic Information
Provider Information
NPI: 1487811931
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PATEL
FirstName: DARSHAN
MiddleName: V.
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 7386
Address2:  
City: HUDSON
State: FL
PostalCode: 346747386
CountryCode: US
TelephoneNumber: 7278628383
FaxNumber: 7278634766
Practice Location
Address1: 7614 JACQUE RD STE C
Address2:  
City: HUDSON
State: FL
PostalCode: 346677195
CountryCode: US
TelephoneNumber: 7278628383
FaxNumber: 7278634766
Other Information
ProviderEnumerationDate: 05/21/2008
LastUpdateDate: 12/27/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XME 107273FLN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000XME 107273FLN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0001XME 107273FLY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology

No ID Information.


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