Individual
SHIVANI HITESH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2501 E HEBRON PKWY, STE 500, CARROLLTON, TX 75010-4403
(972) 300-4171
Mailing address
2501 E HEBRON PKWY, STE 500, CARROLLTON, TX 75010-4403
(972) 300-4171
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
M0523
TX
208VP0014X
Interventional Pain Medicine Physician
M0523
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AQ370
BCBS
TX
01
—
AA
261717123
TX
Enumeration date
11/14/2006
Last updated
05/07/2008
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