Provider Demographics
NPI:1871628321
Name:PATEL, ASHOK (MD)
Entity type:Individual
Prefix:
First Name:ASHOK
Middle Name:
Last Name:PATEL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:998 NW 9TH CT
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2214
Mailing Address - Country:US
Mailing Address - Phone:561-368-0235
Mailing Address - Fax:561-368-0281
Practice Address - Street 1:998 NW 9TH CT
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2214
Practice Address - Country:US
Practice Address - Phone:561-368-0235
Practice Address - Fax:561-368-0281
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2025-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0020382174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME0020382OtherFLORIDDA LICENSE
FLME0020382OtherFLORIDDA LICENSE
FL93123Medicare ID - Type Unspecified