Provider Demographics
NPI:1003822859
Name:MILAN PATEL MD PA
Entity Type:Organization
Organization Name:MILAN PATEL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MILAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-358-8011
Mailing Address - Street 1:PO BOX 51552
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79159-1552
Mailing Address - Country:US
Mailing Address - Phone:806-358-8011
Mailing Address - Fax:806-358-2232
Practice Address - Street 1:6611 AMARILLO BLVD W
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1755
Practice Address - Country:US
Practice Address - Phone:806-358-8011
Practice Address - Fax:806-358-2232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7126261QX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0053QUOtherBLUECROSS BLUESHIELD
TX121122107OtherFIRSTCARE
TXDH1379OtherRAILROAD MEDICARE
TX0053QUOtherBLUECROSS BLUESHIELD
TX00Y819Medicare PIN