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Individual

RUPERT PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 CREEK WAY DR, # 231 A, SUGAR LAND, TX 77478-4072
(832) 999-4360
Mailing address
1400 CREEK WAY DR, # 231 A, SUGAR LAND, TX 77478-4072
(832) 999-4360

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L5868
TX
207RN0300X
Nephrology Physician
Primary
L5868
TX
2080P0210X
Pediatric Nephrology Physician
L5868
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1736191-01
TX
05
173619102
TX
05
173619105
TX
05
173619106
TX
05
173619107
TX
05
173619108
TX
05
173619109
TX
01
8BX844
BCBS INDIVIDUAL NUMBER
TX
Enumeration date
02/13/2006
Last updated
11/14/2014
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