Individual
MR. DEEPAK PATTANAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5030 CRENSHAW RD, SUITE 120, PASADENA, TX 77505-3140
(713) 943-8229
(713) 943-9608
Mailing address
5030 CRENSHAW RD, SUITE 120, PASADENA, TX 77505-3140
(713) 943-8229
(713) 943-9608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G4676
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114731602
—
TX
Enumeration date
10/24/2006
Last updated
07/24/2015
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