Individual
DR. RAJU AMAREGOUDA PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
1902 WINDSOR PL STE 102, FORT WORTH, TX 76110-1866
(682) 207-1700
(682) 250-5246
Mailing address
1902 WINDSOR PL STE 102, FORT WORTH, TX 76110-1866
(682) 207-1700
(682) 250-5246
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R6256
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457526832
—
TX
05
—
396787901
—
TX
Enumeration date
04/25/2008
Last updated
04/07/2026
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