Individual
DR. DEENA ALLAMANAGOUDA PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042-2549
(713) 620-4000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-1666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M0218
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171155801 - OUTSIDE
—
TX
01
—
1739596
LA - MEDICAID
—
01
—
8R6020
BLUE CROSS
TX
01
—
P00196526
RAILROAD - MEDICARE
TX
Enumeration date
01/16/2007
Last updated
08/13/2020
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