Individual
DR. AMIT INDRAVADAN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 MARSH LN, PLANO, TX 75093-8497
(469) 999-4519
(469) 440-7400
Mailing address
3822 BOWSER AVE, DALLAS, TX 75219-4301
(214) 604-5440
(469) 440-7400
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
M3682
TX
207VG0400X
Gynecology Physician
M3682
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1818411
—
TX
01
—
7323792
AETNA
TX
01
—
8DM546
BCBS PROVIDER #
TX
Enumeration date
08/19/2005
Last updated
04/10/2014
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