Provider Demographics
NPI:1053677674
Name:PATEL, ANERI (MD)
Entity Type:Individual
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First Name:ANERI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6821 PINES RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71129-2547
Mailing Address - Country:US
Mailing Address - Phone:318-687-5500
Mailing Address - Fax:318-687-5503
Practice Address - Street 1:6821 PINES RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71129-2547
Practice Address - Country:US
Practice Address - Phone:318-687-5500
Practice Address - Fax:318-687-5503
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2015-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.207915207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine