Organization
SHATISHKUMAR Y PATEL, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHATISHKUMAR Y PATEL MD (OWNER)
(713) 533-0995
Entity
Organization
Contact information
Practice address
8200 WEDNESBURY LN, SUITE 295, HOUSTON, TX 77074-2925
(713) 533-0995
(713) 772-5475
Mailing address
8200 WEDNESBURY LN STE 290, HOUSTON, TX 77074-2906
(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
—
170877801
—
TX
01
—
P00064014
RAILROAD MEDICARE
TX
Enumeration date
10/26/2007
Last updated
04/21/2021
Update your record
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