Patel, Ajay Pravin

Patel, Ajay Pravin is an individual health care provider with primary practice located at 6919 N Dale Mabry Hwy Suite 200, Tampa FL 33614-3972. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Patel, Ajay Pravin can be contacted via phone (813) 933-3324.

Contact Information

Primary practice address
6919 N Dale Mabry Hwy Suite 200 Tampa FL 33614-3972
Phone: (813) 933-3324
Fax: (813) 932-4357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X ME94121 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X ME94121 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME94121 Florida

Profile Details

NPI number 1881687747
LBN Legal business name Patel, Ajay Pravin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Apr 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881687747 NPPES
Florida Other 269125 WELLCARE
Florida Other P00276279 WELLCARE
Florida Other 29980 WELLCARE
Florida MEDICAID 273800700 WELLCARE

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