Provider Demographics
NPI:1285840462
Name:PATEL, NEHAL VIPIN (MD)
Entity Type:Individual
Prefix:
First Name:NEHAL
Middle Name:VIPIN
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 N. LOOP WEST
Mailing Address - Street 2:STE. 460
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008
Mailing Address - Country:US
Mailing Address - Phone:713-864-6100
Mailing Address - Fax:713-864-1755
Practice Address - Street 1:275 COLLIER RD NW
Practice Address - Street 2:SUITE 290
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1704
Practice Address - Country:US
Practice Address - Phone:404-352-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA59490174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist