Individual
DR. RUCHIR P PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 E HOUSTON ST, STE 470, TYLER, TX 75702-8369
(903) 510-8718
Mailing address
PO BOX 846098, DALLAS, TX 75284-1301
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002095
GA
207RG0100X
Gastroenterology Physician
Primary
P3658
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361145102
—
TX
01
—
75-2616977-054
TRICARE
TX
01
—
8GM885
BCBS
TX
01
—
P01812439
RAIL ROAD MEDICARE
TX
Enumeration date
01/16/2008
Last updated
05/08/2017
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