| Shital Patel 14 Md Pa | |
|
1801 North Loop W Ste 45 Houston TX 77008-1445 | |
| (832) 308-0508 | |
| (866) 824-8763 |
| Full Name | Shital Patel 14 Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1801 North Loop W Ste 45, Houston, Texas |
| Authorized Official Name and Position | Shital Patel (PHYSICIAN) |
| Authorized Official Contact | 3019439331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shital Patel 14 Md Pa 454 Faust Ln Houston TX 77024-4702 Ph: (832) 308-0508 | Shital Patel 14 Md Pa 1801 North Loop W Ste 45 Houston TX 77008-1445 Ph: (832) 308-0508 |
| NPI Number | 1972090215 |
|---|---|
| Provider Enumeration Date | 04/20/2018 |
| Last Update Date | 10/06/2020 |
| Medicare PECOS PAC ID | 3577828037 |
|---|---|
| Medicare Enrollment ID | O20180604001468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972090215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | P7532 (Texas) | Primary |
| Provider Name | Shital Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225340144 PECOS PAC ID: 8820235484 Enrollment ID: I20131029000763 |
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