Provider Demographics
NPI:1104961598
Name:PATEL, VANDNA S (MD)
Entity type:Individual
Prefix:DR
First Name:VANDNA
Middle Name:S
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8000 N STADIUM DR FL 6
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1823
Mailing Address - Country:US
Mailing Address - Phone:832-393-4851
Mailing Address - Fax:
Practice Address - Street 1:CITY OF HOUSTON HEALTH & HUMAN SERVICES
Practice Address - Street 2:8000 N STADIUM DR 7TH FLOOR
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054
Practice Address - Country:US
Practice Address - Phone:713-794-9383
Practice Address - Fax:713-794-3111
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8792208D00000X, 261QP0905X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1419532 01Medicaid