Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pratik Patel

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619409372

Pratik Patel is a Diagnostic Radiology in St Petersburg, Florida. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2017, 9 years ago. Practices with Maimonides Medical Center - Mmc Radiology Fpp, a 56-clinician group and accepts Medicare assignment.

Years since qualifying
9
Trained at
Lake Erie College of Osteopathic Medicine, Erie
In the registry since
2017

Practice location Address checks out

6500 38th Ave N
St Petersburg, FL 33710-1629
Phone: (727) 384-1414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1619409372
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2017
Last updated in NPPESMarch 31, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2017 (9 years in practice)
Group practice Maimonides Medical Center - Mmc Radiology Fpp — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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