Patel, Pavankumar

Patel, Pavankumar is an individual health care provider with primary practice located at 5200 Babcock St Ne Ste 106A , Palm Bay FL 32905-4639. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Patel, Pavankumar can be contacted via phone (321) 373-7700.

Contact Information

Primary practice address
5200 Babcock St Ne Ste 106A Palm Bay FL 32905-4639
Phone: (321) 373-7700
Fax: (321) 256-5512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD449832 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01069508A Indiana
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME166782 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD449832 Pennsylvania

Profile Details

NPI number 1407004708
LBN Legal business name Patel, Pavankumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2008
Last updated Oct 31st, 2025 - about last year

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 1407004708 NPPES
Pennsylvania MEDICAID 102882048

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