| Dr Sanjay P Patel, MD | |
|
500 W 4th St, Odessa, TX 79761-5001 | |
| (432) 640-4000 | |
| Not Available |
| Full Name | Dr Sanjay P Patel |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 500 W 4th St, Odessa, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366490492 | NPI | - | NPPES |
| 164294401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | L 8160 (Texas) | Primary |
| 174400000X | Specialist | L8160 (Texas) | Secondary |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Entity Name | Magella Medical Associates Billing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083631071 PECOS PAC ID: 8729970215 Enrollment ID: O20041115001144 |
| Entity Name | Texas Childrens Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sanjay P Patel, MD Po Box 2129, Odessa, TX 79760-2129 Ph: (432) 640-2408 | Dr Sanjay P Patel, MD 500 W 4th St, Odessa, TX 79761-5001 Ph: (432) 640-4000 |
Dr. Fakeha Masood, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3001 Jbs Pkwy Ste 100, Odessa, TX 79762 Phone: 432-640-6772 Fax: 432-640-4708 | |
Dr. Carlos Nieto Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1500 Fax: 432-335-1537 | |
Dr. Stephanie Villarreal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-2222 | |
Olajide A Sowemimo, Pediatrics Medicare: May Accept Medicare Assignments Practice Location: Texas Tech University Health Sciences Complex, 701 West 5th Street, Odessa, TX 79763 Phone: 432-703-6310 | |
Manisha Mahadev Desai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 29 Dolores Ct, Odessa, TX 79765 Phone: 432-561-8797 | |
Randa N. A Othman, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1421 Fax: 432-335-1807 | |
Manjula Mudduluru, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5310 Fax: 432-335-5354 |