Organization
SHIVANI H PATEL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIVANI H. PATEL M.D. (PRESIDENT)
(972) 300-4171
Entity
Organization
Contact information
Practice address
2501 E HEBRON PKWY, CARROLLTON, TX 75010-4403
(972) 300-4171
Mailing address
2501 E HEBRON PKWY, SUITE 500, CARROLLTON, TX 75010-4403
(972) 300-4171
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
M0523
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
M0523
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017QH
BCBS
TX
Enumeration date
09/06/2007
Last updated
05/07/2008
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