Provider Demographics
NPI:1073604369
Name:PATEL, NILAM PRAKASH (M D)
Entity Type:Individual
Prefix:DR
First Name:NILAM
Middle Name:PRAKASH
Last Name:PATEL
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73152-3277
Mailing Address - Country:US
Mailing Address - Phone:405-522-2368
Mailing Address - Fax:405-522-4120
Practice Address - Street 1:1200 N E 13TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73152-3277
Practice Address - Country:US
Practice Address - Phone:405-522-2368
Practice Address - Fax:405-522-4120
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK332242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry