Provider Demographics
NPI:1235382672
Name:NIMESH PATEL M.D., P.A.
Entity Type:Organization
Organization Name:NIMESH PATEL M.D., P.A.
Other - Org Name:KATY FAMILY PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NIMESH
Authorized Official - Middle Name:NARENDRA
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-391-4040
Mailing Address - Street 1:702 S PEEK RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3183
Mailing Address - Country:US
Mailing Address - Phone:281-391-4040
Mailing Address - Fax:
Practice Address - Street 1:702 S PEEK RD
Practice Address - Street 2:SUITE 1
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3183
Practice Address - Country:US
Practice Address - Phone:281-391-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2535261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care