Provider Demographics
NPI:1093783847
Name:PATEL, MEENA PIYUSH (MD)
Entity Type:Individual
Prefix:
First Name:MEENA
Middle Name:PIYUSH
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEENA
Other - Middle Name:PIYUSH
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2519 SCRIPTURE ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-2324
Mailing Address - Country:US
Mailing Address - Phone:940-381-5000
Mailing Address - Fax:940-382-3707
Practice Address - Street 1:2519 SCRIPTURE ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2324
Practice Address - Country:US
Practice Address - Phone:940-381-5000
Practice Address - Fax:940-382-3707
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG24512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00SX11OtherBCBS
TX115950107OtherMEDICAID CSHCN
TX115950103Medicaid
TX115950106Medicaid
TX8L7517Medicare PIN
TX00SX11OtherBCBS
C20265Medicare UPIN