Provider Demographics
NPI:1194793125
Name:PATEL, DINESH R (MD)
Entity type:Individual
Prefix:DR
First Name:DINESH
Middle Name:R
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DINESHKUMAR
Other - Middle Name:R
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5957 ROWAN RD
Mailing Address - Street 2:PREMIER COMMUNITY HEALTHCARE
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-4531
Mailing Address - Country:US
Mailing Address - Phone:352-518-2000
Mailing Address - Fax:
Practice Address - Street 1:5957 ROWAN RD
Practice Address - Street 2:PREMIER COMMUNITY HEALTHCARE
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-4531
Practice Address - Country:US
Practice Address - Phone:352-518-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME161181208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL120100700Medicaid
NJ25MA05832200OtherMEDICAL LICENSE
NJ5403901Medicaid