Individual
DR. CHANDRAKANT G PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1411 S HIGHWAY 69, NEDERLAND, TX 77627-7842
(409) 722-3175
(409) 727-7987
Mailing address
1411 S HIGHWAY 69, NEDERLAND, TX 77627-7842
(409) 722-3175
(409) 727-7987
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
J3872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042QU
BLUE CROSS BLUE SHIELD OF TEXAS
TX
05
—
115272001
—
TX
01
—
4501009353
CLIA
TX
01
—
8AU520
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
07/12/2006
Last updated
01/03/2019
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