Provider Demographics
NPI:1174199236
Name:PATEL, DARSHIT (MS, DPT, PT)
Entity Type:Individual
Prefix:
First Name:DARSHIT
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MS, DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11308 SW 5TH ST APT 6133
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-0241
Mailing Address - Country:US
Mailing Address - Phone:580-370-5957
Mailing Address - Fax:
Practice Address - Street 1:11801 S MAY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170-2560
Practice Address - Country:US
Practice Address - Phone:405-951-8678
Practice Address - Fax:405-951-9957
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-31
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5986225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist