Individual
SHATISHKUMAR Y PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8200 WEDNESBURY LN, SUITE 295, HOUSTON, TX 77074-2925
(713) 533-0995
(713) 772-5475
Mailing address
8200 WEDNESBURY LN, SUITE 295, HOUSTON, TX 77074-2925
(713) 533-0995
(713) 772-5475
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
L0495
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039KJ
BC/BS
TX
05
—
148933802
—
TX
01
—
DA5819
RAILROAD MEDICARE
TX
Enumeration date
08/03/2006
Last updated
03/18/2009
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