Provider Demographics
NPI:1194839753
Name:PATEL, NIMESH N (MD)
Entity Type:Individual
Prefix:MR
First Name:NIMESH
Middle Name:N
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:702 SOUTH PEEK ROAD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450
Mailing Address - Country:US
Mailing Address - Phone:281-391-4040
Mailing Address - Fax:281-391-4042
Practice Address - Street 1:702 SOUTH PEEK ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450
Practice Address - Country:US
Practice Address - Phone:281-391-4040
Practice Address - Fax:281-391-4042
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2016-10-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL2535207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH76517Medicare UPIN
TXH76517Medicare UPIN