Provider Demographics
NPI:1629390109
Name:PATEL, NEEL (MD, DMD, FACS)
Entity type:Individual
Prefix:DR
First Name:NEEL
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD, DMD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3641 S MIAMI AVE STE 170
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4219
Mailing Address - Country:US
Mailing Address - Phone:305-285-5775
Mailing Address - Fax:
Practice Address - Street 1:3641 S MIAMI AVE STE 170
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4219
Practice Address - Country:US
Practice Address - Phone:305-285-5775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME158070207YS0123X, 2082S0099X, 2086X0206X, 207YX0007X, 2086X0206X
FLDRPM20242086X0206X
WA612332012086X0206X
WAMD612014742086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck