Provider Demographics
NPI:1194522847
Name:PATEL, GUNJ (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:GUNJ
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:5812 WESTHAVEN CV
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-5587
Mailing Address - Country:US
Mailing Address - Phone:941-448-5159
Mailing Address - Fax:
Practice Address - Street 1:2571 W EAU GALLIE BLVD STE 2
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-8302
Practice Address - Country:US
Practice Address - Phone:772-217-5362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-11-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant